CORNERSTONE SUPPORT SERVICES, INC. (NPI# 1285188680) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285188680 |
| Entity Type | Organization |
| Organization Name | CORNERSTONE SUPPORT SERVICES, INC. |
| Practice Address |
8921 Pocahontas Trl Providence Forge VA 23140-3308 |
| Practice Telephone | 8049323333 |
| Practice Fax Number | 8045573941 |
| Mailing Telephone | 8049323333 |
| Mailing Fax Number | 8045573941 |
| Enumeration Date | 2016-08-15 |
| Last Update Date | 2016-08-15 |
| Authorized Official Name | MRS. ELIZABETH L CAVE (CEO/CFO) |
| Authorized Official Telephone | 8049323333 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1194-01-001 | VA | Residential Treatment Facilities |
| Street Address |
8921 POCAHONTAS TRL |
| City | PROVIDENCE FORGE |
| State | VA |
| Zip Code | 23140-3308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740411925 | Srikanth Mahavadi | Podiatrist | 9050 Pocahontas Trail, Suite F, Providence Forge, VA 23140 | 2009-08-05 |
| 1538329339 | Aravind Kumar Reddy Kasireddy | Pharmacist | 9100 Pocahontas Trail, Providence Forge, VA 23140 | 2008-06-15 |
| 1538343207 | Wendy Dickerson | Social Worker | 9403 A Pocahantas Trail, Providence Forge, VA 23140 | 2007-12-18 |
| 1528287463 | Randall Stephen Rosemond | Dentist | 3521 N Courthouse Road, Providence Forge, VA 23140 | 2007-04-25 |
| 1295879963 | Kim R Mcfadden | Physician Assistant | 9010 Pocahontas Trail, Providence Forge, VA 23140 | 2007-02-16 |
| 1326189226 | Andrea Michelle Johnson | Social Worker | 9403 Pocohantas Trail, Providence Forge, VA 23140 | 2007-02-12 |
| 1104902477 | Kent Paul Radwani | Social Worker | 9403 Pocohontas Trail, Providence Forge, VA 23140 | 2006-10-30 |
| 1609399419 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 9100 Pocahontas Trail, Providence Forge, VA 23140 | 2017-07-24 |
| 1326330085 | Jennifer Munn | Pharmacist | 9100 Pocahontas Trail, Providence Forge, VA 23140 | 2011-05-12 |
| 1366587396 | Janice V. Atwell | Social Worker | 9403 Pocohantas Trail, Providence Forge, VA 23140 | 2007-02-20 |
| Find all providers in zip 23140 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134729213 | Saint Claire Healthcare | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5601 Seminary Rd Apt 915n, Falls Church, VA 22041-2997 | 2020-10-28 |
| 1780283275 | Great Day Residential | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6606 Gills Gate Pl, Chesterfield, VA 23832-6004 | 2020-10-26 |
| 1306451448 | Nikita S Banks | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 505 Cumberland Street Ave, Ste 2, Portsmouth, VA 23704-2370 | 2020-09-15 |
| 1396359576 | Best Hope Community Residential Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 9662 Hawkshead Dr, Lorton, VA 22079-2786 | 2020-09-03 |
| 1609489038 | Viana Healthcare Services Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8205 Mockingbird Dr, Annandale, VA 22003-3713 | 2020-08-25 |
| 1770196339 | Jilly Healthcare Services, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4145 Lenox Dr, Fairfax, VA 22032-1112 | 2020-08-24 |
| 1225640279 | Guardian Angels Homecare, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1116 Pin Oak Drive, Suffolk, VA 23434-2343 | 2020-08-20 |
| 1659993079 | Collaborative Community LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6000 Filbert Ct, Springfield, VA 22152-1609 | 2020-05-07 |
| 1356962252 | Intellectual Services Group, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4813 Integrity Ct, Fredericksburg, VA 22408-1891 | 2020-05-01 |
| 1699394346 | Peace of Mind Residential Care | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 17 Pinehurst Ln, Stafford, VA 22554-7288 | 2020-04-13 |
| Find all providers with the same taxonomy | ||||
| City | PROVIDENCE FORGE |
| Zip Code | 23140 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.