CORNERSTONE SERVICES, INC (NPI# 1679741805) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679741805 |
| Entity Type | Organization |
| Organization Name | CORNERSTONE SERVICES, INC |
| Other Organization Name | AUTUMN LAKE |
| Practice Address |
3515 Theodore St Joliet IL 60431-2884 |
| Mailing Address |
777 Joyce Rd Joliet IL 60436-1876 |
| Practice Telephone | 8157417045 |
| Mailing Telephone | 8157417045 |
| Enumeration Date | 2008-02-11 |
| Last Update Date | 2008-06-12 |
| Authorized Official Name | MR. BENJAMIN STORTZ (CHIEF ADMINISTRATIVE OFFICER) |
| Authorized Official Telephone | 8157417042 |
| Is Organization Subpart | Y |
| Parent Organization Name | CORNERSTONE SERVICES, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | IDPH LICENSE NUMBER | 000040105 | 01 |
| Other Name | Type Code |
|---|---|
| Autumn Lake | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053746388 | Cornerstone Services, Inc | Clinic/Center | 1475 Harvard Dr # 3, Kankakee, IL 60901-8451 | 2013-09-05 |
| 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 |
3515 THEODORE ST |
| City | JOLIET |
| State | IL |
| Zip Code | 60431-2884 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588173413 | Margaret Ann Silvas | Nurse's Aide | 3627 Woodside Ct, Joliet, IL 60431 | 2017-09-22 |
| 1174900757 | Melissa Suzanne Spoula | Optometrist | 3340 Mall Loop Dr Spc 1442, Joliet, IL 60431 | 2015-05-02 |
| 1154678373 | Melissa J Murphy | Physical Therapist | 852 A Sharp Drive, Provena Therapy and Industrial Rehabilitation Center, Shorewood, IL 60431 | 2012-08-07 |
| 1053540096 | Sarah M Patnoudes | Occupational Therapist | 1035 Heron Circle, Joliet, IL 60431 | 2009-07-13 |
| 1558598649 | Regi Nair | Pharmacy Technician | 1901 Appleman, Joliet, IL 60431 | 2009-06-16 |
| 1346483948 | John A. Propati, Inc. | Clinic/Center | 1401 Illinois Rt. 59, Shorewood, IL 60431 | 2009-04-13 |
| 1467622910 | Cornerstone Home Healthcare LLC | Home Health | 350 Houbolt Rd., Suite 209, Joliet, IL 60431 | 2008-03-11 |
| 1780898098 | Annie Bishop | Home Health Aide | 3806 Brenton Dr, Joliet, IL 60431 | 2007-05-09 |
| 1760601272 | James John Babiuk | Dentist | 3209 Fiday Rd, Joliet, IL 60431 | 2007-04-24 |
| 1689731481 | Smile Street Dental | Dentist | 3587 Hennepin Dr, Joliet, IL 60431 | 2007-01-02 |
| Find all providers in zip 60431 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326432279 | Diana Masny | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 100 Gougar Rd, Joliet, IL 60432-9787 | 2015-03-27 |
| 1356734784 | Pamela Vanhess | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 100 Gougar Rd, Joliet, IL 60432-9787 | 2015-03-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275131419 | Foatex Health Cilacare | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 823 163rd St, Calumet City, IL 60409-5915 | 2020-10-10 |
| 1053949404 | A Great Place To Stay LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 35580 N Knowles Rd, Lake Villa, IL 60046-9026 | 2020-03-31 |
| 1255966602 | Infinicare LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1939 Waukegan Rd Ste 300, Glenview, IL 60025-1758 | 2020-03-05 |
| 1023643772 | Supporting Community Independence | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1 Polo Grounds Ct, Bethalto, IL 62010-2623 | 2020-03-03 |
| 1770116287 | Universal Homes LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 12101 S La Salle St, Chicago, IL 60628-6618 | 2020-02-13 |
| 1760014625 | Tomeka R Morgan | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 11543 S Ashland Ave, Chicago, IL 60643-5001 | 2020-02-10 |
| 1487292660 | Shalom Home Health Ltd | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8147 Seminole Ct, Orland Park, IL 60462-4919 | 2019-12-18 |
| 1447894613 | Compassionate Living Home Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2625 Butterfield Rd Ste 314e, Oak Brook, IL 60523-1234 | 2019-10-31 |
| 1417599945 | Miracle Comprehensive Serivces | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4440 Lincoln Hwy Ste 205, Matteson, IL 60443-3803 | 2019-10-16 |
| 1609435072 | Bliss Haven, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1304 Durham St, Johnston City, IL 62951-2043 | 2019-06-10 |
| 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.