Organization · Type 2 NPI

Cornerstone Community Care LLC

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Waterford, WI

NPI number 1083090559 Active

Practice location

2951 N River Rd
Waterford, WI 53185-5082

Call (262) 744-1473 Map

Fax (262) 514-3485

Mailing address

2953 N River Rd
Waterford, WI 53185-5082

Specialties and licenses

TaxonomyCodeLicense
Home Health Agency 251E00000XNone listed
Community/Behavioral Health Agency 251S00000XNone listed
In Home Supportive Care Agency 253Z00000XNone listed
Adult Day Care Clinic/Center 261QA0600XNone listed
Developmental Disabilities Clinic/Center 261QD1600XNone listed
Adult Mental Health Clinic/Center 261QM0850XNone listed
Assisted Living Facility (Mental Illness) 3104A0625XNone listed
Assisted Living Facility (Behavioral Disturbances) 3104A0630XNone listed
Mental Illness Intermediate Care Facility 310500000XNone listed
Adult Care Home Facility 311ZA0620XNone listed
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000XNone listed
Physical Disabilities Residential Treatment Facility 320700000XNone listed
Mental Illness Community Based Residential Treatment Facility 320800000XNone listed
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary 320900000XNone listed
Psychiatric Residential Treatment Facility 323P00000XNone listed

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

About NPI 1083090559

Cornerstone Community Care LLC's National Provider Identifier is 1083090559, issued on Aug 6, 2015. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Waterford, WI. The record was last updated on Sep 27, 2016.