NPIMap

Organization Active NPI

Cornerstone Behavioral Health Services Inc

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Danville, VA
National Provider Identifier
1801271366
Registry record updated Jul 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
License
1843 Issued in VA
Legal business name
CORNERSTONE BEHAVIORAL HEALTH SERVICES INC
Practice address
109 Druid LN
Danville, VA 24541-4923
Phone
(434) 857-5612
Fax
(434) 857-5618
NPI assigned
Jul 27, 2015
Last updated
Jul 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2020

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

Authorized official

Name
Mr. George BreedloveNPI 1376116756
Title
Ceo, Owner
Phone
(804) 248-7367

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X 1843 VA
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X 1843 VA Primary

Addresses

Primary practice location

109 Druid LN
Danville, VA 24541-4923

Mailing address

212 North Union Street
Danville, VA 24541-0000
Phone (434) 334-7065

Other practice location 1

1192 Tumpkin Creek Lane
Danville, VA 24540-0000
Phone (434) 334-7065

Other names 1

  • Gentlemen of Tomorrow Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Cornerstone Behavioral Health Services Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1437955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595376000000",
    "number": "1801271366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 NORTH UNION STREET",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245410000",
            "telephone_number": "434-334-7065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 DRUID LN",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245414923",
            "telephone_number": "434-857-5612",
            "fax_number": "434-857-5618"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1192 Tumpkin Creek Lane",
            "address_purpose": "LOCATION",
            "city": "Danville",
            "state": "VA",
            "postal_code": "245400000",
            "country_code": "US",
            "telephone_number": "434-334-7065",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CORNERSTONE BEHAVIORAL HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-27",
        "last_updated": "2020-07-22",
        "certification_date": "2020-07-22",
        "status": "A",
        "authorized_official_last_name": "BREEDLOVE",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "CEO, OWNER",
        "authorized_official_telephone_number": "804-248-7367",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "VA",
            "license": "1843",
            "primary": false
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "VA",
            "license": "1843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gentlemen of Tomorrow",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Danville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2020; 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.