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CORNERSTONE RESIDENCE
NPI 1124051818
Assisted Living Facility in Fosston, MN

Active since July 08, 2006CLIA 24D1090457 · Waiver
115 1ST ST E, FOSSTON, MN 56542(218) 435-6333(218) 435-6336 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Cornerstone Residence NPPES

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

CORNERSTONE RESIDENCE (NPI 1124051818) is a healthcare organization registered as an assisted living facility in Fosston, Minnesota and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through October 9, 2026 and lists Allen Potvin, President, as its authorized official.

NPPES Registry Identity

NPI1124051818
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameHEALTH SERVICES NETWORK, INC
Location Address115 1ST ST EFosston, MN 56542-1335
Mailing Address115 1st St EFosston, MN 56542-1335 · (218) 435-6333 · Fax (218) 435-6336
Phone(218) 435-6333
Fax(218) 435-6336
Organization SubpartNo
Authorized OfficialAllen PotvinPresident · (218) 435-6205
Enumeration DateJuly 8, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1124051818 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in MN · 330232
Definition
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.
115 1ST ST E, Fosston, MN 56542
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Other Names 1

Doing Business AsCornerstone Residence

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 24D1090457

Cornerstone Residence Fosston · Fosston, MN
Active · expires Oct 9, 2026
CLIA Number24D1090457
Laboratory TypeAssisted Living Facility
Certificate Effective DateOctober 10, 2024
Certificate Expiration DateOctober 9, 2026
Laboratory DirectorBrandi Coyer
Laboratory Phone(218) 435-6333
Laboratory LocationCornerstone Residence Fosston115 1st Street East, Fosston, MN 56542
CLIA data matches this NPI record on: Address Name Phone
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 Health Services Network, Inc's NPI number?

The NPI number for Health Services Network, Inc is 1124051818. It was assigned to this organization in the NPPES registry on July 8, 2006. The provider is doing business as Cornerstone Residence.

Where is Health Services Network, Inc located?

Health Services Network, Inc is located at 115 1st St E, Fosston, MN 56542. The listed phone number is (218) 435-6333.

What is Health Services Network, Inc's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Health Services Network, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D1090457) is associated with this NPI, valid through October 9, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Health Services Network, Inc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.