CORNERSTONE COMMUNITY CARE LLC – NPI #1083090559
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

Health Care Provider Taxonomy Code for Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

CORNERSTONE COMMUNITY CARE LLC is a community based residential treatment facility located in WATERFORD, WI. NPPES has assigned the NPI number 1083090559 to CORNERSTONE COMMUNITY CARE LLC on August 06, 2015. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 320900000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities. Bear in mind that having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

The NPI profile was previously updated about 10 years ago on Sep 27, 2016. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CORNERSTONE COMMUNITY CARE LLC below.

NPI Profile for
CORNERSTONE COMMUNITY CARE LLC

NPI Number
1083090559
Enumeration Date

(about 11 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CORNERSTONE COMMUNITY CARE LLC
Primary location
2951 N RIVER RD
WATERFORD, WI 53185-5082
Phone: (262) 744-1473 Fax: (262) 514-3485
Mailing address
2953 N RIVER RD
WATERFORD, WI 53185-5082
Phone: (262) 744-1473 Fax:
Organization Subpart
No
Authorized Official
SHAWNA ROHDA
OWNER
Phone: (262) 744-1473
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
320900000X
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Primary)
323P00000X
- Psychiatric Residential Treatment Facility
320800000X
- Community Based Residential Treatment Facility, Mental Illness
320700000X
- Residential Treatment Facility, Physical Disabilities
320600000X
- Residential Treatment Facility, Intellectual and/or Developmental Disabilities
311ZA0620X
- Custodial Care Facility / Adult Care Home
310500000X
- Intermediate Care Facility, Mental Illness
3104A0630X
- Assisted Living Facility / Assisted Living, Behavioral Disturbances
3104A0625X
- Assisted Living Facility / Assisted Living, Mental Illness
261QM0850X
- Clinic/Center / Adult Mental Health
261QD1600X
- Clinic/Center / Developmental Disabilities
261QA0600X
- Clinic/Center / Adult Day Care
253Z00000X
- In Home Supportive Care
251S00000X
- Community/Behavioral Health
251E00000X
- Home Health

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.