NPIMap

Organization Active NPI

Cornerstone Community Support Services, Inc.

  • Community/Behavioral Health Agency
  • Smithfield, NC
National Provider Identifier
1790096030
Registry record updated Jul 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
MHL-064-105 Issued in NC
Legal business name
CORNERSTONE COMMUNITY SUPPORT SERVICES, INC.
Practice address
831 S Brightleaf Blvd
Smithfield, NC 27577-4385
Phone
(252) 478-3605
Fax
(252) 478-2516
NPI assigned
Jul 1, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2010

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

Authorized official

Name
Ms. Cheryl Mercer
Title
Director
Phone
(252) 478-3605

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X MHL-064-105 NC Primary

Addresses

Primary practice location

831 S Brightleaf Blvd
Smithfield, NC 27577-4385

Mailing address

PO Box 160
Spring Hope, NC 27882-0160
Phone (252) 478-3605

Other identifiers 2

IdentifierTypeStateIssuer
MHL-064-105OtherNCSTATE LICENSE
8302264MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Cornerstone Community Support Services Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1277942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277942400000",
    "number": "1790096030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 160",
            "city": "SPRING HOPE",
            "state": "NC",
            "postal_code": "278820160",
            "telephone_number": "252-478-3605",
            "fax_number": "252-478-3618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "831 S BRIGHTLEAF BLVD",
            "city": "SMITHFIELD",
            "state": "NC",
            "postal_code": "275774385",
            "telephone_number": "252-478-3605",
            "fax_number": "252-478-2516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE COMMUNITY SUPPORT SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-01",
        "last_updated": "2010-07-01",
        "status": "A",
        "authorized_official_last_name": "MERCER",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "252-478-3605",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "MHL-064-105",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "MHL-064-105",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8302264",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Smithfield, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2010; 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.