Cornerstone Community Living Inc.

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

Legal business name

CORNERSTONE COMMUNITY LIVING INC.

Practice address

5918 Havenwoods Dr
Houston, TX 77066-2335

Phone

(281) 687-2173

Fax

(281) 580-4962

NPI assigned

Jan 29, 2008

Last updated

Jan 29, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Spencer Elijah Jackson Jr., PROVIDER

Title

Director Program Manager

Phone

(281) 687-2173

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1201564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201564800000",
    "number": "1689851016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5918 HAVENWOODS DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770662335",
            "telephone_number": "281-687-2173",
            "fax_number": "281-580-4962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5918 HAVENWOODS DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770662335",
            "telephone_number": "281-687-2173",
            "fax_number": "281-580-4962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE COMMUNITY LIVING INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-29",
        "last_updated": "2008-01-29",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "SPENCER",
        "authorized_official_middle_name": "ELIJAH",
        "authorized_official_title_or_position": "DIRECTOR PROGRAM MANAGER",
        "authorized_official_telephone_number": "281-687-2173",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PROVIDER"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Cornerstone Community Healthcare Services, Inc.
• Cornerstone EMS
• Cornerstone Healthcare Services LLC
• Cornerstone Integrated Therapy
• Cornerstone Integrative Counseling LLC
• Cornerstone Kids Dental

• Health Maintenance Organization in Houston, TX
• Providers in Houston, TX by specialty
• Health Maintenance Organization in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 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.