CORNERSTONE ADVOCACY SERVICE


Address: 1000 East 80th St, Bloomington, MN 55420
Phone: 9528840376

CORNERSTONE ADVOCACY SERVICE (NPI# 1922295203) 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) 1922295203
Entity Type Organization
Organization Name CORNERSTONE ADVOCACY SERVICE
Practice Address 1000 East 80th St
Bloomington
MN 55420
Practice Telephone 9528840376
Practice Fax Number 9528842135
Mailing Telephone 9528840376
Mailing Fax Number 9528842135
Enumeration Date 2007-10-01
Last Update Date 2017-05-05
Authorized Official Name DAVID JAY MATHEWS (PROGRAM MANAGER)
Authorized Official Telephone 9526466507
Authorized Official Credential PSYD, LICSW
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251S00000X Community/Behavioral Health 13053 MN Agencies

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities CORNERSTONE ADVOCACY SERVICE 1000 E 80th St, Minneapolis, MN 55420-1424

Office Location

Street Address 1000 EAST 80TH ST
City BLOOMINGTON
State MN
Zip Code 55420

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Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition]

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City BLOOMINGTON
Zip Code 55420

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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.

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