CORNERSTONE CLINICAL SERVICES, INC.


Address: 308 Belcher St, Cleveland, TX 77327-3630
Phone: 5804455494

CORNERSTONE CLINICAL SERVICES, INC. (NPI# 1659623130) 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) 1659623130
Entity Type Organization
Organization Name CORNERSTONE CLINICAL SERVICES, INC.
Other Organization Name CORNERSTONE OF TEXAS
Practice Address 308 Belcher St
Cleveland
TX 77327-3630
Mailing Address 1408 W Elder Ave
Duncan
OK 73533-4022
Practice Telephone 5804455494
Practice Fax Number 8884113004
Mailing Telephone 5804708898
Mailing Fax Number 8884113004
Enumeration Date 2012-10-09
Last Update Date 2012-10-09
Authorized Official Name MR. DARRELL EUGENE SMITH (VICE PRESIDENT)
Authorized Official Telephone 5804708898
Authorized Official Credential M.ED
Is Organization Subpart Y
Parent Organization Name CORNERSTONE CLINICAL SERVICES, INC.

Taxonomy

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

Other Provider/Organization Names

Other Name Type Code
Cornerstone of Texas Other Name - Individual/Organization

Office Location

Street Address 308 BELCHER ST
City CLEVELAND
State TX
Zip Code 77327-3630

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1689102642 Nikki J0 Morgan Nurse Practitioner 117 S William Barnett Ave Ste A, Cleveland, TX 77327 2017-06-02
1811439292 Charlotte Susanne Key Nurse Practitioner 211 S College Avenue, Cleveland, TX 77327 2016-11-16
1235439670 Er Doc 24 7 Pllc Emergency Medicine 705 E. Houston St., Cleveland, TX 77327 2010-11-02
1255522447 Latresha J Mcbride Pediatrics 300 E Houston, Ste A, Cleveland, TX 77327 2007-08-05
1104035914 Lanette C Sikes Dentist 117 E Houston, Cleveland, TX 77327 2007-05-21
1285851873 Randy Lee Davis Dentist 429 W. Southline St. Suite#900, Cleveland, TX 77327 2007-04-18
1508996950 City of Cleveland Ambulance 207 E Boothe, Cleveland, TX 77327 2007-03-06
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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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1740806751 One Child Every Chance Foundation LLC Community/Behavioral Health 5909 Cable Ave, Cleveland, OH 44127-1745 2020-06-25
1649899048 Amyra Support Services, LLC Community/Behavioral Health 11811 Shaker Blvd Ste 113d, Cleveland, OH 44120-1927 2020-04-15
1447886973 Infinity Hearts LLC Community/Behavioral Health 17325 Euclid Ave Ste 4133, Cleveland, OH 44112-1262 2020-03-16
1184255549 Peter James Development & Independent Living, Inc. Community/Behavioral Health 17325 Euclid Ave Ste 4103, Cleveland, OH 44112-1262 2020-02-03
1255970679 Heart To Heart Health and Wellness Community/Behavioral Health 17325 Euclid Ave Ste 2145, Cleveland, OH 44112-1247 2020-01-02
1164068540 First and Twenty Five LLC Community/Behavioral Health 12305 Arlington Ave, Cleveland, OH 44108-2359 2019-11-21
1124580303 Lighthouse Community Care Inc Community/Behavioral Health 4500 Lee Rd Ste 231, Cleveland, OH 44128-2959 2019-04-04
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Competitor

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City CLEVELAND
Zip Code 77327

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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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