Active NPI
Safe Havens of Kornerstone
- Foster Care Agency
- Pantego, TX
National Provider Identifier
1245479401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foster Care Agency
- License
- 854064-424
- Legal business name
- SAFE HAVENS OF KORNERSTONE
- Practice address
- 3221 W Pioneer Pkwy
Pantego, TX 76013-4620 - Phone
- (817) 276-9009
- Fax
- (817) 276-9084
- NPI assigned
- Feb 11, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dale H Smith
- Title
- Executive Director
- Phone
- (817) 276-9009
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foster Care Agency | 253J00000X | 854064-424 | TX | Primary |
Addresses
Primary practice location
3221 W Pioneer Pkwy
Pantego, TX 76013-4620
Mailing address
3221 W Pioneer Pkwy
Pantego, TX 76013-4620
Phone (817) 276-9009
National Provider Directory
National Provider Directory- Tax ID family
- Kornerstone
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Pantego, TX
- NPI 1407095664
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1234310400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1234310400000",
"number": "1245479401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3221 W PIONEER PKWY",
"city": "PANTEGO",
"state": "TX",
"postal_code": "760134620",
"telephone_number": "817-276-9009",
"fax_number": "817-276-9084"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3221 W PIONEER PKWY",
"city": "PANTEGO",
"state": "TX",
"postal_code": "760134620",
"telephone_number": "817-276-9009",
"fax_number": "817-276-9084"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAFE HAVENS OF KORNERSTONE",
"organizational_subpart": "NO",
"enumeration_date": "2009-02-11",
"last_updated": "2009-02-11",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "DALE",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "817-276-9009"
},
"taxonomies": [
{
"code": "253J00000X",
"taxonomy_group": "",
"desc": "Foster Care Agency",
"state": "TX",
"license": "854064-424",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pantego, TX
- Ronald J. Morlock, DDS, Inc.
- Roslynn's Healing Touch LLC (Roslynn's Healing Touch)
- Chava Shira Rousch-Carlisle, LCSW, APHSW-C
- Joseph Polani Ruane, D.C.
- Parnell E. Ryan, PH.D.
- Safe Havens of Kornerstone (Kornerstone)
- Safepoint Healthcare Services
- Arlene Saldana, LPC
- Ali Alonso Salinas-Buentello, DC
- Salyer Counseling Group, PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.