Organization Active NPI

Cornerstone Family Services LLC

  • Community/Behavioral Health Agency
  • Wake Forest, NC
National Provider Identifier
1760598718
Registry record updated Jun 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CORNERSTONE FAMILY SERVICES LLC
Practice address
415 Lilliput LN
Wake Forest, NC 27587-7477
Phone
(919) 630-4191
Fax
(919) 556-1055
NPI assigned
Aug 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2013

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

Authorized official

Name
Mr. Mark Ernest Germann
Title
Managing Member
Phone
(919) 630-4280

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X NC
Community/Behavioral Health Agency 251S00000X NC Primary
Early Intervention Provider Agency 252Y00000X NC

Addresses

Primary practice location

415 Lilliput LN
Wake Forest, NC 27587-7477

Mailing address

415 Lilliput LN
Wake Forest, NC 27587-7477
Phone (919) 630-4191

Other identifiers 1

IdentifierTypeStateIssuer
8300153MedicaidNC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372204800000",
    "number": "1760598718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 LILLIPUT LN",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275877477",
            "telephone_number": "919-630-4191",
            "fax_number": "919-556-1055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 LILLIPUT LN",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275877477",
            "telephone_number": "919-630-4191",
            "fax_number": "919-556-1055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE FAMILY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-22",
        "last_updated": "2013-06-26",
        "status": "A",
        "authorized_official_last_name": "GERMANN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "ERNEST",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "919-630-4280",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": null,
            "primary": true
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NC",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8300153",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wake Forest, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2013; 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.