NPIMap

Organization Active NPI

Cornerstone Community Support Services, Inc.

  • Community/Behavioral Health Agency
  • Spring Hope, NC
National Provider Identifier
1972744704
Registry record updated Jan 7, 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
127B West Main Street
Springhope, NC 27882-9424
Phone
(252) 478-3605
Fax
(252) 478-3718
NPI assigned
Mar 6, 2009
Last updated
Jan 7, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2010

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

Authorized official

Name
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

127B West Main Street
Springhope, NC 27882-9424

Mailing address

127B West Main Street
Springhope, NC 27882-9424
Phone (252) 235-2536

Other identifiers 1

IdentifierTypeStateIssuer
MHL-064-109OtherNCDHHS/DHSR LICENSE

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": "1236297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262822400000",
    "number": "1972744704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127B WEST MAIN STREET",
            "city": "SPRINGHOPE",
            "state": "NC",
            "postal_code": "278829424",
            "telephone_number": "252-235-2536",
            "fax_number": "252-235-2816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127B WEST MAIN STREET",
            "city": "SPRINGHOPE",
            "state": "NC",
            "postal_code": "278829424",
            "telephone_number": "252-478-3605",
            "fax_number": "252-478-3718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE COMMUNITY SUPPORT SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-06",
        "last_updated": "2010-01-07",
        "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"
    },
    "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": "DHHS/DHSR LICENSE",
            "identifier": "MHL-064-109",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Hope, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 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.