Corner Stone Residential Care, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

CORNER STONE RESIDENTIAL CARE, LLC

Practice address

2316 Nelson Hwy
Chapel Hill, NC 27517

Phone

(919) 402-8477

NPI assigned

Nov 29, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Ronald Mack Johnson, MBA

Title

Director

Phone

(919) 452-9276

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Limited Liability Corporation Other name

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257206400000",
    "number": "1891862413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1537 YORKSHIRE LANE",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "27803",
            "telephone_number": "252-937-7862",
            "fax_number": "252-451-4111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2316 NELSON HWY",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "27517",
            "telephone_number": "919-402-8477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNER STONE RESIDENTIAL CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2009-11-03",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "MACK",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "919-452-9276",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": "MHL-032-336",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6603843",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Limited Liability Corporation",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Glendaly Cordero, CCC-SLP
• Core4 Psychology, PLLC (Dr. Dana Lebo)
• Corey W. Wilson DDS PA (Meadowmont Dentistry)
• Morgan Corkish, PHARMD
• Sarah Corley, M.D.
• Joseph Allen Cornett
• Hannah Leigh Cornman, MD
• Matthew Eaton Cornwell, RN
• Stephen Cornwell, R.PH.
• Magda E Corredor, LPC

• Community/Behavioral Health Agency in Chapel Hill, NC
• Providers in Chapel Hill, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2009; 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.