Lake Region Home Medical, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

LAKE REGION HOME MEDICAL, LLC

Doing business as

Corner Home Medical

Practice address

1432 W Lincoln Ave
Fergus Falls, MN 56537-1032

Phone

(320) 263-1349

NPI assigned

Jan 15, 2014

Last updated

Aug 6, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Sean Steinhauser

Title

Director of Billing & Compliance

Phone

(763) 442-9677

Specialties & licenses 5

Addresses

Other names 1

• Corner Home Medical Doing business as

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Carris Health LLC

  dba CentraCare Willmar Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Willmar, MN
  • NPI 1902319478

  Member Of

  NPD member

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1389744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722902400000",
    "number": "1063834778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2730 NEVADA AVE N",
            "city": "NEW HOPE",
            "state": "MN",
            "postal_code": "554272807",
            "telephone_number": "637-535-5335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1432 W LINCOLN AVE",
            "city": "FERGUS FALLS",
            "state": "MN",
            "postal_code": "565371032",
            "telephone_number": "320-263-1349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE REGION HOME MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-15",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A",
        "authorized_official_last_name": "STEINHAUSER",
        "authorized_official_first_name": "SEAN",
        "authorized_official_title_or_position": "DIRECTOR OF BILLING & COMPLIANCE",
        "authorized_official_telephone_number": "763-442-9677"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Corner Home Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lake Region Healthcare Corporation
• Lake Region Healthcare Corporation (Lake Region Healthcare)
• Lake Region Healthcare Corporation (Lake Region Healthcare)
• Lake Region Healthcare Corporation
• Lake Region Healthcare Corporation (Lake Region Healthcare)
• Lakeland Hospice & Home Care, Inc.
• Lakeland Hospice, Inc. (Lakeland Hospice and Home Care, Inc)
• Lakeland Mental Health Center
• Lakeland Mental Health Center
• Lakeland Mental Health Center

• Durable Medical Equipment & Medical Supplies in Fergus Falls, MN
• Providers in Fergus Falls, MN by specialty
• Durable Medical Equipment & Medical Supplies in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.