CORNERSTONE RESIDENCE SENIOR CARE
NPI 1689119943
Assisted Living Facility in Bagley, MN
About Cornerstone Residence Senior Care NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CORNERSTONE RESIDENCE SENIOR CARE (NPI 1689119943) is a healthcare organization registered as an assisted living facility in Bagley, Minnesota and active in the NPI registry since December 2016. The organization holds a CLIA Waiver certificate valid through March 19, 2027 and lists Allen Potvin, President/ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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 24D2127849
Cornerstone Residence Snr Care · Bagley, MNFrequently 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 Senior Living, LLC's NPI number?
The NPI number for Cornerstone Senior Living, LLC is 1689119943. It was assigned to this organization in the NPPES registry on December 22, 2016. The provider is doing business as Cornerstone Residence Senior Care.
Where is Cornerstone Senior Living, LLC located?
Cornerstone Senior Living, LLC is located at 421 6th St NE, Bagley, MN 56621. The listed phone number is (218) 435-6205.
What is Cornerstone Senior Living, LLC's specialty?
The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.
Does Cornerstone Senior Living, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 24D2127849) is associated with this NPI, valid through March 19, 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 Senior Living, LLC was last updated on April 28, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Cornerstone Residence Senior Care · NPI 1689119943
Assisted Living Facility organization in Bagley, Minnesota. Organization record, active in the CMS NPPES registry since December 22, 2016.
## Identity
- **NPI:** 1689119943 (Entity type: Organization)
- **Enumerated:** December 22, 2016
- **Primary specialty:** Assisted Living Facility · taxonomy 310400000X
- **Legal business name:** Cornerstone Senior Living, Llc
- **Organization subpart:** No
- **Authorized official:** Allen Potvin, PRESIDENT/CEO
## Practice location
- **Address:** 421 6TH ST NE, Bagley, MN 56621-8103
- **Phone:** (218) 435-6205
## Record status
- **NPPES last updated:** April 28, 2017
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1689119943) · Data from the CMS NPPES public registry.