Organization · Type 2 NPI

Cornerstone Supported Living

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Meridian, ID

NPI number 1699314443 Active

Practice location

3400 E River Valley St Apt J202
Meridian, ID 83646-2361

Call (907) 302-8366 Map

Fax (208) 955-5608

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Home Health Agency 251E00000XNone listed
Supports Brokerage Agency 251X00000XNone listed
In Home Supportive Care Agency 253Z00000XNone listed
Assisted Living Facility 310400000XNone listed
Assisted Living Facility (Mental Illness) 3104A0625XNone listed
Assisted Living Facility (Behavioral Disturbances) 3104A0630XNone listed
Intellectual Disabilities Intermediate Care Facility 315P00000XNone listed
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000XNone listed
Physical Disabilities Residential Treatment Facility 320700000XNone listed
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary 320900000XNone listed
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000XNone listed
Substance Abuse Rehabilitation Facility 324500000XNone listed
Non-emergency Medical Transport (VAN) 343900000XNone listed
Private Vehicle 347C00000XNone 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.

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About NPI 1699314443

Cornerstone Supported Living's National Provider Identifier is 1699314443, issued on Dec 26, 2019. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Meridian, ID. The record was last updated on Dec 26, 2019.