Active NPI
Cornerstone Deliverance & Development Ministries for Christ, Inc
- Community/Behavioral Health Agency
- Lyons, GA
National Provider Identifier
1295495497
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- 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, 2021
- 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
- Johanna Courts
- Title
- Chief Operations Officer
- Phone
- (954) 642-1583
Specialties & licenses 11
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Case Management Agency
- Miami, FL
- NPI 1609526540
-
- Case Management Agency
- Fort Lauderdale, FL
- NPI 1700337656
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.