CHANNAHON
NPI 1811175151
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Channahon, IL

Active since February 08, 2008CLIA 14D1073225 · Waiver
22744 S PARK PLACE DR, CHANNAHON, IL 60410(815) 741-7045 Get Directions Write a Review

NPPES record last updated: June 12, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Channahon NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHANNAHON (NPI 1811175151) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Channahon, Illinois and active in the NPI registry since February 2008. The organization holds a CLIA Waiver certificate valid through September 4, 2027 and lists Benjamin T Stortz, Chief Administrative Officer, as its authorized official.

NPPES Registry Identity

NPI1811175151
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameCORNERSTONE SERVICES INC
Location Address22744 S PARK PLACE DRChannahon, IL 60410-3154
Mailing Address22744 S Park Place DrChannahon, IL 60410-3154 · (815) 741-7045
Organization SubpartNo
Authorized OfficialBenjamin T StortzChief Administrative Officer · (815) 741-7042
Enumeration DateFebruary 8, 2008
Last NPPES UpdateJune 12, 2008
NPI 1811175151 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code320900000X
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
22744 S PARK PLACE DR, Channahon, IL 60410

Other Names 1

Other NameChannahon

Other Identifiers 2

Other=========005IL · Hfs Provider Number
Other000040469IL · Idph Licence Number

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D1073225

Channahon Healthcare Center Of Morris Hospital · Channahon, IL
Active · expires Sep 4, 2027
CLIA Number14D1073225
Laboratory TypePhysician Office
Certificate Effective DateSeptember 5, 2025
Certificate Expiration DateSeptember 4, 2027
Laboratory DirectorMary C. Connolly
Laboratory Phone(815) 467-0555
Laboratory LocationChannahon Healthcare Center Of Morris Hospital25259 Reed Street, Channahon, IL 60410
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cornerstone Services Inc's NPI number?

The NPI number for Cornerstone Services Inc is 1811175151. It was assigned to this organization in the NPPES registry on February 8, 2008. The provider is also known as Channahon.

Where is Cornerstone Services Inc located?

Cornerstone Services Inc is located at 22744 S Park Place Dr, Channahon, IL 60410. The listed phone number is (815) 741-7045.

What is Cornerstone Services Inc's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

Does Cornerstone Services Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D1073225) is associated with this NPI, valid through September 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Cornerstone Services Inc was last updated on June 12, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.