Cornerstone Foundation

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

CORNERSTONE FOUNDATION

Practice address

105 W Division St
Dodgeville, WI 53533-1423

Phone

(608) 935-1649

Fax

(608) 935-0804

NPI assigned

Jul 5, 2011

Organization subpart

No

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

Authorized official

Name

Ms. Jean Ann O'Neill

Title

Case Manager

Phone

(608) 935-1649

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1309824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309824000000",
    "number": "1699062182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 W DIVISION ST",
            "city": "DODGEVILLE",
            "state": "WI",
            "postal_code": "535331423",
            "telephone_number": "608-935-1649",
            "fax_number": "608-935-0804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 W DIVISION ST",
            "city": "DODGEVILLE",
            "state": "WI",
            "postal_code": "535331423",
            "telephone_number": "608-935-1649",
            "fax_number": "608-935-0804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-05",
        "last_updated": "2011-07-05",
        "status": "A",
        "authorized_official_last_name": "O'NEILL",
        "authorized_official_first_name": "JEAN",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CASE MANAGER",
        "authorized_official_telephone_number": "608-935-1649",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kiley Prusso Cates, RN
• City of Dodgeville
• Christine Cole
• Corner Drug Store, Inc
• Corner Drug Store, Inc
• County of Grant Dba Unified Community Services
• County of Grant, Office of Clerk Dba Unified Community Services
• County of Iowa
• County of Iowa
• Lawrence William Crowley, R.PH

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Dodgeville, WI
• Providers in Dodgeville, WI by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2011; 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.