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CORNERSTONE COURT LLC NPI 1790174548


NPI Information

NPI: 1790174548
Provider Name: CORNERSTONE COURT LLC
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 50D2208708

Address:
12128 N DIVISION ST
PMB 236
SPOKANE, WA
ZIP 99218
Phone: (509) 671-1729
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CORNERSTONE COURT LLC is an assisted living facility in Spokane, WA. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. CORNERSTONE COURT LLC NPI is 1790174548. The provider is registered as an organization entity type.

The provider's business location address is:

12128 N DIVISION ST
PMB 236
SPOKANE, WA
ZIP 99218-905
Phone: (509) 671-1729
Fax: (506) 466-2819

The provider's authorized official is Cynthia Dawn Rogers .
The authorized official title is Administrator and has the following contact phone number (509) 671-1729.

The CLIA number assigned to this NPI record is 50D2208708 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/16/2015 and was last updated on 1/16/2015.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1310400000XAssisted Living Facility2243WASHINGTONYes

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: 4/28/2024

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