CORNERSTONE MANAGEMENT GROUP LLC NPI 1497207609

NPI Information

NPI: 1497207609
Provider Name: CORNERSTONE MANAGEMENT GROUP LLC
Classification: Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320600000X
Entity Type: Organization
Address:
302 SOUTH STATE STREET
GOBLES, MI
ZIP 49055
Phone: (269) 628-2100
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CORNERSTONE MANAGEMENT GROUP LLC is a residential treatment facility, intellectual and/or developmental disabilities in Gobles, MI. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. CORNERSTONE MANAGEMENT GROUP LLC NPI is 1497207609. The provider is registered as an organization entity type.

The provider's business location address is:

302 SOUTH STATE STREET
GOBLES, MI
ZIP 49055
Phone: (269) 628-2100
Fax: (269) 628-2121

The provider's authorized official is Tracie Hernandez .
The authorized official title is Ceo and has the following contact phone number (269) 628-2100.

The enumeration date for this NPI number is 11/4/2016 and was last updated on 11/4/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	320600000X	Residential Treatment Facility, Intellectual and/or Developmental Disabilities				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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