CORNERSTONE SUPPORTED LIVING
NPI 1699314443
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Meridian, ID

NPI Status: Active since December 26, 2019

Contact Information

3400 E RIVER VALLEY ST APT J202
MERIDIAN, ID
ZIP 83646
Phone: (907) 302-8366
Fax: (208) 955-5608

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  • Organization
  • Community Based Residential Treatment Fa...

About CORNERSTONE SUPPORTED LIVING

This page provides the complete NPI Profile along with additional information for Cornerstone Supported Living, a provider established in Meridian, Idaho operating as a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The healthcare provider is registered in the NPI registry with number 1699314443 assigned on December 2019. The practitioner's primary taxonomy code is 320900000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Jamila Gilliam (Administrator)

NPI
1699314443
Provider Name
CORNERSTONE SUPPORTED LIVING
Entity Type
Organization
Location Address
3400 E RIVER VALLEY ST APT J202 MERIDIAN, ID 83646
Location Phone
(907) 302-8366
Location Fax
(208) 955-5608
Mailing Address
3400 E RIVER VALLEY ST APT J202 MERIDIAN, ID 83646
Mailing Phone
(907) 302-8366
Mailing Fax
(208) 955-5608
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-26-2019
Last Update Date
12-26-2019
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

Taxonomy Code
320900000X
Type
Residential Treatment Facilities
Taxonomy Description
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1171M00000XOther Service Providers

Case Manager/Care Coordinator

 
2251E00000XAgencies

Home Health

 
3251X00000XAgencies

Supports Brokerage

 
4253Z00000XAgencies

In Home Supportive Care

 
5310400000XNursing & Custodial Care Facilities

Assisted Living Facility

 
63104A0625XNursing & Custodial Care Facilities

Assisted Living Facility
Assisted Living, Mental Illness

 
73104A0630XNursing & Custodial Care Facilities

Assisted Living Facility
Assisted Living, Behavioral Disturbances

 
8315P00000XNursing & Custodial Care Facilities

Intermediate Care Facility, Intellectual Disabilities

 
9320600000XResidential Treatment Facilities

Residential Treatment Facility, Intellectual and/or Developmental Disabilities

 
10320700000XResidential Treatment Facilities

Residential Treatment Facility, Physical Disabilities

 
11322D00000XResidential Treatment Facilities

Residential Treatment Facility, Emotionally Disturbed Children

 
12324500000XResidential Treatment Facilities

Substance Abuse Rehabilitation Facility

 
13343900000XTransportation Services

Non-emergency Medical Transport (VAN)

 
14347C00000XTransportation Services

Private Vehicle

 

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JAMILA GILLIAM

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(907) 302-8366

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1699314443, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 77. The final step is to find the difference between that total and the next multiple of ten (80 - 77 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
9
Unchanged
Pos 5
3
Doubled → 6
Pos 6
1
Unchanged
Pos 7
4
Doubled → 8
Pos 8
4
Unchanged
Pos 9
4
Doubled → 8
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 3 → 6 4 → 8 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 1 + 8 + 9 + 6 + 1 + 8 + 4 + 8 + 24 = 77

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 77 is 80. The difference is the calculated check digit.

80 - 77 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1699314443.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Counselor (Mental Health)
3400 E RIVER VALLEY ST APT J202
MERIDIAN, ID 83646

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1699314443, enumerated as an "organization" on December 26, 2019.

The provider is located at 3400 E RIVER VALLEY ST APT J202 MERIDIAN, ID 83646 and the phone number is (907) 302-8366.

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.