CORNELL CORRECTIONS OF CALIFORNIA, INC.


Address: 700 Fourmile Pkwy, Canon City, CO 81212-9114
Phone: 7192767500

CORNELL CORRECTIONS OF CALIFORNIA, INC. (NPI# 1376689042) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1376689042
Entity Type Organization
Organization Name CORNELL CORRECTIONS OF CALIFORNIA, INC.
Practice Address 700 Fourmile Pkwy
Canon City
CO 81212-9114
Practice Telephone 7192767500
Practice Fax Number 7192766961
Mailing Telephone 7192767500
Mailing Fax Number 7192766961
Enumeration Date 2007-01-30
Last Update Date 2012-06-29
Authorized Official Name MR. JOSEPH WILNER (FACILITY DIRECTOR)
Authorized Official Telephone 7192767500
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 323P00000X Psychiatric Residential Treatment Facility 1526789 CO Residential Treatment Facilities
Y 322D00000X Residential Treatment Facility, Emotionally Disturbed Children 1526789 CO Residential Treatment Facilities

Other Provider Identifier

State Issuer Identifier Type Code
CO 42679249 05
CO 31487319 05

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1699269142 Cornell Corrections of California, Inc. Clinic/Center 700 Four Mile Pkwy, Canon City, CO 81212-9114 2018-06-19

Other Data Sources

Entity Type Entity Name Entity Address
North Carolina Corporation CORNELL CORRECTIONS OF CALIFORNIA, INC. 621 NW 53rd Street Suite 700 , Boca Raton, FL 33487-8242
Colorado Business Entity CORNELL CORRECTIONS OF CALIFORNIA, INC. 621 NW 53rd Street Suite 700, Boca Raton, FL 33487

Office Location

Street Address 700 FOURMILE PKWY
City CANON CITY
State CO
Zip Code 81212-9114

Providers in the same location

NPI Name Taxonomy Address Enumeration
1104023878 Charles Lentz Counselor 700 Fourmile Pkwy, Canon City, CO 81212-9114 2007-06-27
1447457106 Jo-ann Cahill O'neil Counselor 700 Fourmile Pkwy, Canon City, CO 81212-9114 2007-06-27

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1083212393 Buck Jack LLC Physical Therapist Mountain View Core Knowledge School 890 Field Ave, Cannon City, CO 81212 2020-10-09
1942841374 Glorious Works Neurotherapy Community/Behavioral Health 115 N 7th Street, Canon City, CO 81212 2019-10-07
1376046292 Lonnie Mccarron Social Worker 600 Evans Rd, Fremont Correctional Facility, Canon City, CO 81212 2018-03-16
1487156964 Patrick Neil Cox Case Manager/Care Coordinator 3239 Independence Road, Canon City, CO 81212 2018-03-01
1831559806 Justin Ensinger Counselor 700 Four Mile Parkway, Canon City, CO 81212 2016-03-03
1710365713 Amber Conover Health Educator 105 N 10th Street, Canon City, CO 81212 2015-05-11
1902073448 Richard R Williams Counselor 612 Field Ave, Canon City, CO 81212 2008-05-14
1861662249 Huh Inc Hearing Instrument Specialist 121 Justice Center Rd Ste D, Canon City, CO 81212 2008-03-03
1013113828 Deborah Eileen Shock Nurse Practitioner 275 W Hwy 50, Canon City, CO 81212 2007-06-27
1245433564 Lindsey Elizabeth Fish Internal Medicine 275 West Hwy 50, Colorado Territorial Correctional Facility, Canon City, CO 81212 2007-06-06
Find all providers in zip 81212

Taxonomy Information

Taxonomy Code 322D00000X
Grouping Residential Treatment Facilities
Classification Residential Treatment Facility, Emotionally Disturbed Children

Taxonomy Definition

A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment.
Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1831722933 Rocky Mountain Kids Residential Treatment Facility, Emotionally Disturbed Children 65 Diamond E Rd, Fountain, CO 80817-3325 2020-02-17
1902439003 Rocky Mountain Kids Residential Treatment Facility, Emotionally Disturbed Children 2810 Hunters Glen Rd, Monument, CO 80132-9704 2020-02-17
1306479407 Rocky Mountain Kids Residential Treatment Facility, Emotionally Disturbed Children 3101 Palmer Park Blvd, Colorado Springs, CO 80909-3120 2020-02-17
1689206401 Rocky Mountain Kids Residential Treatment Facility, Emotionally Disturbed Children 2129 N Nevada Ave, Colorado Springs, CO 80907-6916 2020-02-10
1164998506 Kokua Co LLC Residential Treatment Facility, Emotionally Disturbed Children 5401 W 9th St, Greeley, CO 80634-4431 2018-10-23
1851824213 Rite of Passage, Inc Residential Treatment Facility, Emotionally Disturbed Children 1590 12th St, Alamosa, CO 81101-3701 2017-04-04
1962935379 Rite of Passage Inc Residential Treatment Facility, Emotionally Disturbed Children 8810 Highway 103, Idaho Springs, CO 80452-9623 2017-04-04
1801349105 Shiloh Home Inc Residential Treatment Facility, Emotionally Disturbed Children 9700 E Easter Lane, Centennial, CO 80112 2016-08-03
1588971204 Shiloh Home Inc. Residential Treatment Facility, Emotionally Disturbed Children 8461 Delaware St, Thornton, CO 80260-4821 2010-09-01
1225263593 Third Way Center, Inc. Residential Treatment Facility, Emotionally Disturbed Children 9100 E Lowry Blvd, Lowry Sprout, Denver, CO 80230-6935 2009-05-15
Find all providers with the same taxonomy

Competitor

Search similar providers

City CANON CITY
Zip Code 81212

Improve Information

Please comment or provide details below to improve the information on CORNELL CORRECTIONS OF CALIFORNIA, INC..

Dataset Information

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.

Trending Searches