Provider Demographics
NPI:1154861839
Name:CORNERSTONE CARE
Entity Type:Organization
Organization Name:CORNERSTONE CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:LAHTINEN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:612-310-0655
Mailing Address - Street 1:2112 BUDD AVE NO.
Mailing Address - Street 2:
Mailing Address - City:INDEPENDENCE
Mailing Address - State:MN
Mailing Address - Zip Code:55359
Mailing Address - Country:US
Mailing Address - Phone:612-310-0655
Mailing Address - Fax:
Practice Address - Street 1:23766 570TH AVE
Practice Address - Street 2:
Practice Address - City:LITCHFIELD
Practice Address - State:MN
Practice Address - Zip Code:55355
Practice Address - Country:US
Practice Address - Phone:612-310-0655
Practice Address - Fax:320-693-4293
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-01
Last Update Date:2018-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health