Active NPI
Cornerstone Family Services LLC
- Community/Behavioral Health Agency
- Wake Forest, NC
National Provider Identifier
1760598718
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8300153 | Medicaid | NC |
National Provider Directory
National Provider DirectoryNPI 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.