Provider Demographics
NPI:1396598918
Name:CORNERSTONE CARE SERVICES LLC
Entity type:Organization
Organization Name:CORNERSTONE CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ADEBIMPE
Authorized Official - Middle Name:ABIODUN
Authorized Official - Last Name:BAKARE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:862-250-1807
Mailing Address - Street 1:729 S 18TH STREET
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07103-1034
Mailing Address - Country:US
Mailing Address - Phone:862-270-9532
Mailing Address - Fax:
Practice Address - Street 1:729 S 18TH STREET
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07103-1034
Practice Address - Country:US
Practice Address - Phone:862-270-9532
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-11
Last Update Date:2024-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care
No177F00000XOther Service ProvidersLodging
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No251X00000XAgenciesSupports Brokerage
No253Z00000XAgenciesIn Home Supportive Care
No347C00000XTransportation ServicesPrivate Vehicle
No385HR2055XRespite Care FacilityRespite CareRespite Care, Mental Illness, Child