Organization Active NPI

Cornerstone Case Management LLC

  • Case Manager/Care Coordinator
  • Albuquerque, NM
National Provider Identifier
1639851934
Registry record updated Aug 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
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

Updated by the provider on Aug 4, 2023

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)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.