Vintage

LBN: Cornerstone Services, Inc
Vintage is an health care organization with primary practice located at 709 Cambridge Ln , Shorewood IL 60404-0519. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty. Cornerstone Services, Inc can be contacted via phone (815) 741-7045, or through Stortz, Benjamin via phone (815) 741-7045.

Contact Information

Primary practice address
709 Cambridge Ln Shorewood IL 60404-0519
Phone: (815) 741-7045
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Stortz, Benjamin
Phone: (815) 741-7045

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X

Profile Details

NPI number 1295903433
LBN Legal business name Cornerstone Services, Inc
DBA Doing business as Vintage
Authorized official Stortz, Benjamin
Entity Organization
Organization subpart 1 Yes
Enumeration date Feb 11th, 2008
Last updated Jun 12th, 2008 - about 16 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 1295903433 NPPES
Illinois Other 000040477 IDPH LICENSE NUMBER

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