Provider Demographics
NPI:1093996829
Name:CORNERSTONE HOUSE OF SANTA BARBARA
Entity Type:Organization
Organization Name:CORNERSTONE HOUSE OF SANTA BARBARA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MAGGIE
Authorized Official - Middle Name:
Authorized Official - Last Name:WORDELL
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:805-684-5840
Mailing Address - Street 1:1451 CAMINO TRILLADO
Mailing Address - Street 2:
Mailing Address - City:CARPINTERIA
Mailing Address - State:CA
Mailing Address - Zip Code:93013-1550
Mailing Address - Country:US
Mailing Address - Phone:805-684-5840
Mailing Address - Fax:805-684-6455
Practice Address - Street 1:1451 CAMINO TRILLADO
Practice Address - Street 2:
Practice Address - City:CARPINTERIA
Practice Address - State:CA
Practice Address - Zip Code:93013-1550
Practice Address - Country:US
Practice Address - Phone:805-684-5840
Practice Address - Fax:805-684-6455
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-20
Last Update Date:2007-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA315P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes315P00000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Intellectual Disabilities