Harvard

LBN: Cornerstone Services, Inc
Harvard is an health care organization with primary practice located at 1475 Harvard Dr # 3 , Kankakee IL 60901-8451. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty. Cornerstone Services, Inc can be contacted via phone (815) 823-8412, or through Stortz, Benjamin via phone (815) 741-7045.

Contact Information

Primary practice address
1475 Harvard Dr # 3 Kankakee IL 60901-8451
Phone: (815) 823-8412
Fax: (815) 823-8431
Website:
Map and Directions
Authorized official contact:
Name: Stortz, Benjamin
Phone: (815) 741-7045

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1053746388
LBN Legal business name Cornerstone Services, Inc
DBA Doing business as Harvard
Authorized official Stortz, Benjamin
Entity Organization
Organization subpart 1 No
Enumeration date Sep 5th, 2013
Last updated Jun 22nd, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053746388 NPPES
Illinois Other 04039 DEPT OF HUMAN SERVICES CERTIFICATION NUMBER

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