OrganizationActive
Cornerstone Community Care LLC
NPI 1083090559 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Waterford, WI
Provider details
- NPI number
- 1083090559
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Shawna Rohda, Owner(262) 744-1473
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
- Adult Care Home Facility311ZA0620X
Nursing & Custodial Care Facilities
- Home Health Agency251E00000X
Agencies
- Community/Behavioral Health Agency251S00000X
Agencies
- In Home Supportive Care Agency253Z00000X
Agencies
- Adult Day Care Clinic/Center261QA0600X
Ambulatory Health Care Facilities
Practice location
2951 N River Rd
Waterford, WI 53185-5082
Phone: (262) 744-1473
Fax: (262) 514-3485
Approximate (ZIP-level) locationGet directions
Mailing address
2953 N River Rd
Waterford, WI 53185-5082
Registry dates
- Enumerated
- 2015-08-06
- Last updated
- 2016-09-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.