Active NPI
Cornerstone Case Management LLC
- Case Manager/Care Coordinator
- Albuquerque, NM
National Provider Identifier
1639851934
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Legal business name
- CORNERSTONE CASE MANAGEMENT LLC
- Practice address
- 115 Cornell Drive SE #4614
Albuquerque, NM 87196-4614 - Phone
- (505) 417-1613
- Fax
- (505) 501-8458
- NPI assigned
- Aug 4, 2023
- 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
- Loriessa I Randle
- Title
- Co-Owner
- Phone
- (505) 416-1613
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
115 Cornell Drive SE #4614
Albuquerque, NM 87196-4614
Mailing address
PO Box 4614
Albuquerque, NM 87196-4614
Phone (505) 417-1613
Other practice location 1
4704 El Alamo Ct SE
Rio Rancho, NM 87124-1249
Phone (505) 416-1613
National Provider Directory
National Provider DirectoryLocations
115 Cornell Dr SE
Unit 4614
Albuquerque, NM 87196
Phone (505) 417-1613
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691107200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1691107200000",
"number": "1639851934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4614",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871964614",
"telephone_number": "505-417-1613",
"fax_number": "505-501-8458"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 CORNELL DRIVE SE #4614",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871964614",
"telephone_number": "505-417-1613",
"fax_number": "505-501-8458"
}
],
"practiceLocations": [
{
"address_1": "4704 El Alamo Ct SE",
"address_purpose": "LOCATION",
"city": "Rio Rancho",
"state": "NM",
"postal_code": "871241249",
"country_code": "US",
"telephone_number": "505-416-1613",
"fax_number": "505-501-8458",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "CORNERSTONE CASE MANAGEMENT LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-08-04",
"last_updated": "2023-08-04",
"certification_date": "2023-08-04",
"status": "A",
"authorized_official_last_name": "RANDLE",
"authorized_official_first_name": "LORIESSA",
"authorized_official_middle_name": "I",
"authorized_official_title_or_position": "CO-OWNER",
"authorized_official_telephone_number": "505-416-1613"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.