Cornerstone Community Service

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

CORNERSTONE COMMUNITY SERVICE

Practice address

2220 Southgate St
Durham, NC 27703-2102

Phone

(919) 630-7103

Fax

(919) 794-8390

NPI assigned

Feb 24, 2020

Organization subpart

No

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

Authorized official

Name

Cheryl George Mitchell, QP

Title

Administrator

Phone

(919) 630-7103

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1582502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582502400000",
    "number": "1356975767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "716 CROSBY RD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277041705",
            "telephone_number": "919-630-7103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2220 SOUTHGATE ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277032102",
            "telephone_number": "919-630-7103",
            "fax_number": "919-794-8390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE COMMUNITY SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-24",
        "last_updated": "2020-02-24",
        "certification_date": "2020-02-24",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "919-630-7103",
        "authorized_official_credential": "QP"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Durham",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2220 Southgate St",
            "city": "Durham",
            "state": "NC",
            "country_code": "US",
            "postal_code": "277032102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kristin Corey
• Tori Corley, MA, LCASA
• B. Jeanne Cornejo, P.T.
• Oscar A Cornelio Flores, MD
• Kelly Lynn Cornelison, PA-C, R.T. (R)
• Cornerstone Healthcare Services, Inc.
• Jessica Elizabeth Cornett, CTRS
• Kayla Marie Cornew, LCMHCA, NCC
• Annelise Cornwell, LMHCA
• Maria Kathleen Corrao, APRN, PNP-BC

• Adult Care Home Facility in Durham, NC
• Providers in Durham, NC by specialty
• Adult Care Home Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2020; 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.