Organization Active NPI

Cornerstone Deliverance & Development Ministries for Christ, Inc

  • Community/Behavioral Health Agency
  • Lyons, GA
National Provider Identifier
1295495497
Registry record updated Dec 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CORNERSTONE DELIVERANCE & DEVELOPMENT MINISTRIES FOR CHRIST, INC
Practice address
101 W Stuart Ave
Lyons, GA 30436-1437
Phone
(954) 951-2705
Fax
(954) 827-0285
NPI assigned
Dec 29, 2021
Last updated
Dec 29, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2021

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

Authorized official

Name
Johanna Courts
Title
Chief Operations Officer
Phone
(954) 642-1583

Specialties & licenses 11

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility (Mental Illness) 3104A0625X NU
Children's Substance Abuse Rehabilitation Facility 3245S0500X NU
Non-emergency Medical Transport (VAN) 343900000X NU
Private Vehicle 347C00000X NU
Mental Health Counselor 101YM0800X NU
Pastoral Counselor 101YP1600X NU
Social Worker 104100000X NU
Lodging Provider 177F00000X NU
Foster Care Agency 253J00000X NU
Case Manager/Care Coordinator 171M00000X NU
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

101 W Stuart Ave
Lyons, GA 30436-1437

Mailing address

3090 NW 7TH St
Fort Lauderdale, FL 33311-7612
Phone (954) 642-1583

National Provider Directory

National Provider Directory
Tax ID family
Cornerstone Deliverance Development Ministries for Christ Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3090 NW 7th St
Fort Lauderdale, FL 33311
Phone (561) 805-0378

101 W Stuart Ave
Lyons, GA 30436
Phone (954) 951-2705

NPI Registry JSON

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

{
    "created_epoch": "1640736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640736000000",
    "number": "1295495497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3090 NW 7TH ST",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333117612",
            "telephone_number": "954-642-1583",
            "fax_number": "954-827-0285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W STUART AVE",
            "city": "LYONS",
            "state": "GA",
            "postal_code": "304361437",
            "telephone_number": "954-951-2705",
            "fax_number": "954-827-0285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE DELIVERANCE & DEVELOPMENT MINISTRIES FOR CHRIST, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-29",
        "last_updated": "2021-12-29",
        "certification_date": "2021-09-01",
        "status": "A",
        "authorized_official_last_name": "COURTS",
        "authorized_official_first_name": "JOHANNA",
        "authorized_official_title_or_position": "CHIEF OPERATIONS OFFICER",
        "authorized_official_telephone_number": "954-642-1583"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "177F00000X",
            "taxonomy_group": "",
            "desc": "Lodging",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lyons, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2021; 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.