Active NPI
Cornerstone Deliverance & Development Ministries for Christ, Inc
- Case Management Agency
- Fort Lauderdale, FL
National Provider Identifier
1700337656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Group Psychotherapy Psychologist | 103TP2701X | |||
| Social Worker | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 104880800 | Medicaid | FL |
National Provider Directory
National Provider Directory- Tax ID family
- Cornerstone Deliverance Development Ministries for Christ Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Case Management Agency
- Miami, FL
- NPI 1609526540
-
- Community/Behavioral Health Agency
- Lyons, GA
- NPI 1295495497
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.