Organization Active NPI

Cornerstone Deliverance & Development Ministries for Christ, Inc

  • Case Management Agency
  • Fort Lauderdale, FL
National Provider Identifier
1700337656
Registry record updated Sep 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
CORNERSTONE DELIVERANCE & DEVELOPMENT MINISTRIES FOR CHRIST, INC
Practice address
441 NW 35TH Avenue
Fort Lauderdale, FL 33311
Phone
(954) 526-4117
Fax
(954) 827-0285
NPI assigned
Oct 16, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2021

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

Authorized official

Name
Mr. Andrew J. Jones
Title
Executive Director
Phone
(954) 642-1583

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Group Psychotherapy PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TP2701X
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X
Case Management Agency 251B00000X Primary
Assisted Living Facility 310400000X FL
Substance Abuse Rehabilitation Facility 324500000X

Addresses

Primary practice location

441 NW 35TH Avenue
Fort Lauderdale, FL 33311

Mailing address

3090 NW 7TH Street
Fort Lauderdale, FL 33311-7612
Phone (954) 526-4117

Other identifiers 1

IdentifierTypeStateIssuer
104880800MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Cornerstone Deliverance Development Ministries for Christ Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3090 NW 7th St
Fort Lauderdale, FL 33311
Phone (561) 805-0378

441 NW 35th Ave
Lauderhill, FL 33311
Phone (954) 526-4117

NPI Registry JSON

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

{
    "created_epoch": "1476576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631750400000",
    "number": "1700337656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3090 NW 7TH STREET",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333117612",
            "telephone_number": "954-526-4117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "441 NW 35TH AVENUE",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "33311",
            "telephone_number": "954-526-4117",
            "fax_number": "954-827-0285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE DELIVERANCE & DEVELOPMENT MINISTRIES FOR CHRIST, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-16",
        "last_updated": "2021-09-16",
        "certification_date": "2021-09-16",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "954-642-1583",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "103TP2701X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Group Psychotherapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104880800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2021; 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.