Active NPI
Cornerstone Supported Living
- Developmentally Disabled Services Day Training Agency
- Columbus, OH
National Provider Identifier
1841464682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- License
- 2539006
- Legal business name
- CORNERSTONE SUPPORTED LIVING
- Practice address
- 650 S Ashburton Rd
Columbus, OH 43213-2703 - Phone
- (614) 235-8750
- NPI assigned
- Apr 14, 2008
- 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
- Mrs. Chantilla Edwards Boateng
- Title
- Program Director
- Phone
- (614) 235-8750
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | 2539006 | OH | Primary |
Addresses
Primary practice location
650 S Ashburton Rd
Columbus, OH 43213-2703
Mailing address
650 S. Ashburton Rd.
Columbus, OH 43213
Phone (614) 235-8750
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2760767 | Medicaid | OH |
Other names 1
- Francis D. Boateng
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208131200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208131200000",
"number": "1841464682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "650 S. ASHBURTON RD.",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "43213",
"telephone_number": "614-235-8750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "650 S ASHBURTON RD",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432132703",
"telephone_number": "614-235-8750"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CORNERSTONE SUPPORTED LIVING",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-14",
"last_updated": "2008-04-14",
"status": "A",
"authorized_official_last_name": "BOATENG",
"authorized_official_first_name": "CHANTILLA",
"authorized_official_middle_name": "EDWARDS",
"authorized_official_title_or_position": "PROGRAM DIRECTOR",
"authorized_official_telephone_number": "614-235-8750",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": "OH",
"license": "2539006",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2760767",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Francis D. Boateng",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Columbus, OH
- Laura Elizabeth Cornely, M.A.
- Cornerstone Family Counseling,Inc.
- Cornerstone Healthcare Associates LLC
- Cornerstone Integrated Healthcare of Ohio LLC
- Cornerstone Medical Services of Columbus, LLC
- Cornerstone Supported Living,LLC
- Marc Cornes
- Denise Cornett
- Emily Gale Cornett, MS, RN, CNP
- Pamela Cornley
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.