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CORNERSTONE RESIDENCE OF KELLIHER
NPI 1457548661
Assisted Living Facility in Kelliher, MN

Active since October 02, 2007CLIA 24D0651729 · Waiver
280 MAIN STREET WEST, KELLIHER, MN 56650(218) 647-8258(218) 647-8483 Get Directions Write a Review

NPPES record last updated: October 2, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Cornerstone Residence Of Kelliher NPPES

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

CORNERSTONE RESIDENCE OF KELLIHER (NPI 1457548661) is a healthcare organization registered as an assisted living facility in Kelliher, Minnesota and active in the NPI registry since October 2007. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Allen Potvin, President, as its authorized official.

NPPES Registry Identity

NPI1457548661
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameKELLIHER CARE CENTER INC
Location Address280 MAIN STREET WESTKelliher, MN 56650
Mailing Address280 Main Street West, Po Box 189Kelliher, MN 56650 · (218) 647-8258 · Fax (218) 647-8483
Phone(218) 647-8258
Fax(218) 647-8483
Organization SubpartNo
Authorized OfficialAllen PotvinPresident · (218) 435-6205
Enumeration DateOctober 2, 2007
✔ NPI 1457548661 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 · 337372
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.
280 MAIN STREET WEST, Kelliher, MN 56650
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Other Names 1

Doing Business AsCornerstone Residence Of Kelliher

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 24D0651729

Cornerstone Residence Kelliher · Kelliher, MN
Active · expires Aug 31, 2026
CLIA Number24D0651729
Laboratory TypeAssisted Living Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorBrandi Coyer
Laboratory Phone(218) 647-8258
Laboratory LocationCornerstone Residence Kelliher280 Main Street West, Kelliher, MN 56650
CLIA data matches this NPI record on: Address 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 Kelliher Care Center Inc's NPI number?

The NPI number for Kelliher Care Center Inc is 1457548661. It was assigned to this organization in the NPPES registry on October 2, 2007. The provider is doing business as Cornerstone Residence Of Kelliher.

Where is Kelliher Care Center Inc located?

Kelliher Care Center Inc is located at 280 Main Street West, Kelliher, MN 56650. The listed phone number is (218) 647-8258.

What is Kelliher Care Center Inc's specialty?

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

Does Kelliher Care Center Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D0651729) is associated with this NPI, valid through August 31, 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 Kelliher Care Center Inc was last updated on October 2, 2007. 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.