NPIMap

Organization Active NPI

Cornerstone II

  • Mental Illness Community Based Residential Treatment Facility
  • Kalamazoo, MI
National Provider Identifier
1245531995
Registry record updated Nov 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
AS800309333 Issued in MI
Legal business name
CORNERSTONE II
Practice address
22722 W M 43
Kalamazoo, MI 49009-9208
Phone
(269) 668-7419
Fax
(269) 668-7419
NPI assigned
Nov 11, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Tracie Ann Hernandez
Title
Ceo
Phone
(269) 317-4433

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X AS800309333 MI Primary

Addresses

Primary practice location

22722 W M 43
Kalamazoo, MI 49009-9208

Mailing address

P.O. Box 277
Bloomingdale, MI 49026
Phone (269) 628-2100

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1289433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289433600000",
    "number": "1245531995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 277",
            "city": "BLOOMINGDALE",
            "state": "MI",
            "postal_code": "49026",
            "telephone_number": "269-628-2100",
            "fax_number": "269-628-2121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22722 W M 43",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490099208",
            "telephone_number": "269-668-7419",
            "fax_number": "269-668-7419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE II",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-11",
        "last_updated": "2010-11-11",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "TRACIE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "269-317-4433",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "MI",
            "license": "AS800309333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.