CORNERSTONE SENIOR LIVING, LLC (NPI# 1689119943) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689119943 |
| Entity Type | Organization |
| Organization Name | CORNERSTONE SENIOR LIVING, LLC |
| Other Organization Name | CORNERSTONE RESIDENCE SENIOR CARE |
| Practice Address |
421 6th St Ne Bagley MN 56621-8103 |
| Mailing Address |
114 2nd St Ne Fosston MN 56542-1302 |
| Practice Telephone | 2184356205 |
| Mailing Telephone | 2184356205 |
| Mailing Fax Number | 2184356336 |
| Enumeration Date | 2016-12-22 |
| Last Update Date | 2017-04-28 |
| Authorized Official Name | MR. ALLEN POTVIN (PRESIDENT/CEO) |
| Authorized Official Telephone | 2184356205 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 381263 | MN | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Cornerstone Residence Senior Care | Doing Business As Name - Organization |
| Street Address |
421 6TH ST NE |
| City | BAGLEY |
| State | MN |
| Zip Code | 56621-8103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750933685 | Kristyn Faith Bergh | Physical Therapist | 118 Central Street West, Bagley, MN 56621 | 2019-07-11 |
| 1366956823 | Brian Sterling Paramore | Nurse Practitioner | 1656 Central Ave St W, Bagley, MN 56621 | 2017-11-20 |
| 1942436985 | Cornerstone Residence of Bagley, Inc | Assisted Living Facility | 30 Sunset Ave Sw, Bagley, MN 56621 | 2009-06-04 |
| 1548419708 | Melissa Nicole Jenson | Registered Nurse | 14 South Main Street, Bagley, MN 56621 | 2008-09-12 |
| 1518116813 | Tammy Rae Hanse | Registered Nurse | 14 South Main Ave, Bagley, MN 56621 | 2008-09-11 |
| 1134392350 | Kimberly Kae Crist | Lodging | 28647 Hwy 92, Bagley, MN 56621 | 2008-04-09 |
| 1952529323 | Clearwater Health Services | Skilled Nursing Facility | 416 7th St Ne, Bagley, MN 56621 | 2007-04-23 |
| 1295859411 | Clearwater County Memorial Hospital | General Acute Care Hospital | 203 4th St. N.w., Bagley, MN 56621 | 2007-03-16 |
| 1992875850 | Mary Elizabeth Jones | Dentist | 13 Main Avenue North, Bagley, MN 56621 | 2006-11-08 |
| 1558350678 | Bradley W Neujahr Od Pa | Optometrist | 14 2nd St Ne, Bagley, MN 56621 | 2005-10-20 |
| Find all providers in zip 56621 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942436985 | Cornerstone Residence of Bagley, Inc | Assisted Living Facility | 30 Sunset Ave Sw, Bagley, MN 56621 | 2009-06-04 |
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| 1750980603 | Estherra Care LLC | Assisted Living Facility | 1120 Morgan Ave N, Minneapolis, MN 55411-3805 | 2020-10-21 |
| 1679189682 | Daniel Care Homes LLC | Assisted Living Facility | 6809 Perry Ave N, Brooklyn Center, MN 55429-1611 | 2020-09-16 |
| 1326651779 | Secured Health and Homecare Inc | Assisted Living Facility | 4519 104th Ave N, Brooklyn Park, MN 55443-1030 | 2020-08-26 |
| 1811509870 | Aurora Assisted Living LLC | Assisted Living Facility | 115 Magnolia Ave W, Saint Paul, MN 55117-4916 | 2020-08-20 |
| 1003427477 | In My Father's House | Assisted Living Facility | 3096 Snelling Ave N, Roseville, MN 55113-1659 | 2020-08-11 |
| 1710595863 | Eden Prairie Senior Living | Assisted Living Facility | 8480 Franlo Rd, Eden Prairie, MN 55344-2938 | 2020-07-15 |
| 1447868468 | Brightstar Services LLC | Assisted Living Facility | 1821 University Ave W Ste 120, Saint Paul, MN 55104-2811 | 2020-07-15 |
| 1235757667 | Roers Senior Living Buffalo LLC | Assisted Living Facility | 150 Division Street East, Buffalo, MN 55313 | 2020-07-13 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.