CORNERSTONE SERVICES, INC (NPI# 1053746388) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053746388 |
| Entity Type | Organization |
| Organization Name | CORNERSTONE SERVICES, INC |
| Other Organization Name | HARVARD |
| Practice Address |
1475 Harvard Dr # 3 Kankakee IL 60901-8451 |
| Practice Telephone | 8158238412 |
| Practice Fax Number | 8158238431 |
| Mailing Telephone | 8158238412 |
| Mailing Fax Number | 8158238431 |
| Enumeration Date | 2013-09-05 |
| Last Update Date | 2020-07-15 |
| Authorized Official Name | MR. BENJAMIN STORTZ (CEO) |
| Authorized Official Telephone | 8157417045 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities | ||
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | DEPT OF HUMAN SERVICES CERTIFICATION NUMBER | 04039 | 01 |
| Other Name | Type Code |
|---|---|
| Harvard | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679741805 | Cornerstone Services, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3515 Theodore St, Joliet, IL 60431-2884 | 2008-02-11 |
| 1295903433 | Cornerstone Services, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 709 Cambridge Ln, Shorewood, IL 60404-0519 | 2008-02-11 |
| 1396913539 | Cornerstone Services, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 25058 W Liberty Dr, Channahon, IL 60410-3181 | 2008-02-11 |
| 1912175159 | Cornerstone Services, Inc | Community Based Residential Treatment Facility, Mental Illness | 670 Chaney Ct # 672, Cresthill, IL 60403 | 2008-02-11 |
| 1649805565 | Cornerstone Services, Inc | Clinic/Center | 134 E Van Buren St, Joliet, IL 60432-4218 | 2020-03-11 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | CORNERSTONE SERVICES, INC. | 31 S Ohioville Rd, New Paltz, Ny 12561 |
| Oregon Corporations, Companies and Business Names | CORNERSTONE SERVICES, INC. | 4660 Main Street, 260, Springfield, OR 97478 |
| Street Address |
1475 HARVARD DR # 3 |
| City | KANKAKEE |
| State | IL |
| Zip Code | 60901-8451 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558978841 | William Mitsos Dds | Dentist | 1291 S. 7th Ave, Kankakee, IL 60901 | 2020-09-30 |
| 1922653682 | Jody Mcguyer, Lcpc, Cadc Counseling Services, LLC | Counselor | 315 W. Court St., Kankakee, IL 60901 | 2019-08-08 |
| 1700346327 | Sarah Elizabeth Toma | Speech-Language Pathologist | 200 E Court St #708, Kankakee, IL 60901 | 2019-03-20 |
| 1710473160 | Small Talk Speech Services, LLC | Clinic/Center | 1439 W Vanmeter St, Kankakee, IL 60901 | 2018-07-09 |
| 1124538004 | Amy J Green | Physical Therapist | 350 N. Wall Street, Kankakee, IL 60901 | 2017-10-05 |
| 1013457514 | Elizabeth Ann Smith | Registered Nurse | 292 Charlton Lane, Kankakee, IL 60901 | 2017-03-02 |
| 1861931461 | Stacey E. Brown | Nurse Practitioner | 207 N. Schuyler Ave., Kankakee, IL 60901 | 2017-02-15 |
| 1417352105 | Provider Healthcare Services, Inc | Home Health | 555 South Schuyler, Suite 275, Kankakee, IL 60901 | 2014-10-24 |
| 1265850655 | Ronald George Testa | Dentist | 202 N. Schuyler Ave, Kankakee, IL 60901 | 2014-04-02 |
| 1245587898 | Mary Beth Wertz | Registered Nurse | 100 N Jeffery Street, Kankakee, IL 60901 | 2012-08-13 |
| Find all providers in zip 60901 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831719913 | Cornerstone Services Inc | Clinic/Center | 187 S Schuyler Ave Ste 450, Kankakee, IL 60901-3835 | 2020-04-20 |
| 1487191540 | Aunt Martha's Youth Service Center, Inc. | Clinic/Center | 1777 E Court St, Lower Level, Kankakee, IL 60901-2670 | 2017-01-27 |
| 1427118439 | Oakside Corporation | Clinic/Center | 1905 W Court St, Entrance A, Kankakee, IL 60901-3163 | 2006-12-11 |
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| 1194322370 | Envision Unlimited | Clinic/Center | 4911 S Hoyne Ave, Chicago, IL 60609-4721 | 2020-10-01 |
| Find all providers with the same taxonomy | ||||
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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.