NPIMap

Organization Active NPI

Cornerstone Services, Inc

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Shorewood, IL
National Provider Identifier
1295903433
Registry record updated Jun 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
CORNERSTONE SERVICES, INC
Practice address
709 Cambridge LN
Shorewood, IL 60404-0519
Phone
(815) 741-7045
NPI assigned
Feb 11, 2008
Organization subpart
Yes
Parent organization
CORNERSTONE SERVICES, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 12, 2008

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

Authorized official

Name
Benjamin Stortz
Title
Chief Administrative Officer
Phone
(815) 741-7045

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Primary

Addresses

Primary practice location

709 Cambridge LN
Shorewood, IL 60404-0519

Mailing address

777 Joyce Rd
Joliet, IL 60436-1876
Phone (815) 741-7045

Other identifiers 1

IdentifierTypeStateIssuer
000040477OtherILIDPH LICENSE NUMBER

Other names 1

  • Vintage Other name

National Provider Directory

National Provider Directory
Tax ID family
Cornerstone Services17 organizations share this tax ID, including this one
Part of
Cornerstone Services

Other organizations with this tax ID 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1202688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213228800000",
    "number": "1295903433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 JOYCE RD",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604361876",
            "telephone_number": "815-741-7045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 CAMBRIDGE LN",
            "city": "SHOREWOOD",
            "state": "IL",
            "postal_code": "604040519",
            "telephone_number": "815-741-7045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE SERVICES, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CORNERSTONE SERVICES, INC",
        "enumeration_date": "2008-02-11",
        "last_updated": "2008-06-12",
        "status": "A",
        "authorized_official_last_name": "STORTZ",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
        "authorized_official_telephone_number": "815-741-7045"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IDPH LICENSE NUMBER",
            "identifier": "000040477",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vintage",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Shorewood, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2008; 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.