CORNERSTONE SUPPORTED LIVING – NPI #1699314443
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 SUPPORTED LIVING is a community based residential treatment facility located in MERIDIAN, ID. NPPES has assigned the NPI number 1699314443 to CORNERSTONE SUPPORTED LIVING on December 26, 2019. 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.

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 SUPPORTED LIVING below.

NPI Profile for
CORNERSTONE SUPPORTED LIVING

NPI Number
1699314443
Enumeration Date

(more than 6 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 SUPPORTED LIVING
Primary location
3400 E RIVER VALLEY ST APT J202
MERIDIAN, ID 83646-2361
Phone: (907) 302-8366 Fax: (208) 955-5608
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JAMILA GILLIAM
ADMINISTRATOR
Phone: (907) 302-8366
Updated
Certification Date
Dec 26, 2019

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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)
347C00000X
- Private Vehicle
343900000X
- Non-emergency Medical Transport (VAN)
324500000X
- Substance Abuse Rehabilitation Facility
322D00000X
- Residential Treatment Facility, Emotionally Disturbed Children
320700000X
- Residential Treatment Facility, Physical Disabilities
320600000X
- Residential Treatment Facility, Intellectual and/or Developmental Disabilities
315P00000X
- Intermediate Care Facility, Intellectual Disabilities
3104A0630X
- Assisted Living Facility / Assisted Living, Behavioral Disturbances
3104A0625X
- Assisted Living Facility / Assisted Living, Mental Illness
310400000X
- Assisted Living Facility
253Z00000X
- In Home Supportive Care
251X00000X
- Supports Brokerage
251E00000X
- Home Health
171M00000X
- Case Manager/Care Coordinator

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.