Provider Demographics
NPI:1962857052
Name:CORNERSTONE FAMILY SERVICES, LLC
Entity Type:Organization
Organization Name:CORNERSTONE FAMILY SERVICES, LLC
Other - Org Name:COMFORT KEEPERS - 509
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:L
Authorized Official - Last Name:GAMBLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-744-3800
Mailing Address - Street 1:1748 W KATELLA AVE STE 207
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92867-3430
Mailing Address - Country:US
Mailing Address - Phone:714-744-3800
Mailing Address - Fax:
Practice Address - Street 1:1748 W KATELLA AVE STE 207
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92867-3430
Practice Address - Country:US
Practice Address - Phone:714-744-3800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-26
Last Update Date:2016-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No347C00000XTransportation ServicesPrivate Vehicle