CORNERSTONE AFC LLC (NPI# 1720376031) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1720376031 |
Entity Type | Organization |
Organization Name | CORNERSTONE AFC LLC |
Practice Address |
633 N Fall River Dr Coldwater MI 49036-9170 |
Mailing Address |
Po Box 277 Bloomingdale MI 49026-0277 |
Practice Telephone | 2693174433 |
Enumeration Date | 2011-07-20 |
Last Update Date | 2011-07-20 |
Authorized Official Name | TRACIE HERNANDEZ (CEO) |
Authorized Official Telephone | 2693174433 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | AS120281503 | MI | Residential Treatment Facilities |
Street Address |
633 N FALL RIVER DR |
City | COLDWATER |
State | MI |
Zip Code | 49036-9170 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194295790 | Jacqueline Hensell | Physical Therapist | 320 East Chicago St, Coldwater, MI 49036 | 2018-11-27 |
1285104869 | Jaycie Rose Littley | Physical Therapist | 320 E Chicago Street, Coldwater, MI 49036 | 2018-11-27 |
1881161651 | David Linklater | Physical Therapist | Promedica Coldwater Regional Hospital, 274 East Chicago Street, Coldwater, MI 49036 | 2018-10-30 |
1144733734 | Luke Norcross | Social Worker | 200 Vista Drive, Coldwater, MI 49036 | 2017-11-06 |
1508312471 | Tiffany Vanluven | Rehabilitation Practitioner | 528 West Chicago St. Atp13, Coldwater, MI 49036 | 2016-08-30 |
1477904175 | Shawn Talbot | Psychologist | 300 Orleans Blvd, Coldwater, MI 49036 | 2016-06-24 |
1124406863 | Alexys Wolfinger | Rehabilitation Practitioner | 528 W. Chicago St. Apt. 20, Coldwater, MI 49036 | 2015-05-14 |
1194118968 | Kim Clemens | Rehabilitation Practitioner | 465 N Michigan Ave., Coldwater, MI 49036 | 2015-03-18 |
1205238854 | Coldwater Family Dentistry P.C. | Dentist | 575 N Union City Road, Coldwater, MI 49036 | 2014-09-25 |
1114337581 | Johnson Kattathra | Pharmacist | 620 E Chicago St, Coldwater, MI 49036 | 2014-05-06 |
Find all providers in zip 49036 |
Taxonomy Code | 320800000X |
Grouping | Residential Treatment Facilities |
Classification | Community Based Residential Treatment Facility, Mental Illness |
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
Notes: [7/1/2003: new] |
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1235607854 | Csm Serenity Homes, LLC | Community Based Residential Treatment Facility, Mental Illness | 1714 W 32nd St, Holland, MI 49423-7311 | 2018-11-13 |
1750859229 | The Noble Home II, Inc | Community Based Residential Treatment Facility, Mental Illness | 327 E Grand Blvd, Detroit, MI 48207-3616 | 2018-11-02 |
1679048870 | Neighborhood Living Services,inc. | Community Based Residential Treatment Facility, Mental Illness | 23001 Norfolk St, Detroit, MI 48219-1185 | 2018-10-04 |
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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.