NPIMap

Organization Active NPI

Corner Medical LLC

Doing business as Corner Home Medical

  • Oxygen Equipment & Supplies (DME)
  • Woodbury, MN
National Provider Identifier
1285920561
Registry record updated Dec 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
License
361419 Issued in MN
Legal business name
CORNER MEDICAL LLC
Doing business as
Corner Home Medical
Practice address
8380 City Centre Dr Ste 170
Woodbury, MN 55125-5312
Phone
(651) 403-3502
Fax
(952) 388-0444
NPI assigned
Jun 24, 2011
Last updated
Dec 23, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2015

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

Authorized official

Name
Mr. Dan Steinhauser
Title
President
Phone
(763) 535-5335

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X 361419 MN Primary

Addresses

Primary practice location

8380 City Centre Dr Ste 170
Woodbury, MN 55125-5312

Mailing address

9720 Humboldt Ave S
Bloomington, MN 55431-2623
Phone (952) 388-0500

Other names 1

  • Corner Home Medical Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120111000168 MN DME Supplier - Medical Supply Company With Respiratory TherapistDME Supplier - Medical Supply CompanyDME Supplier - Oxygen & Equipment 0143435271 Practice locations: Woodbury, MN

Other NPIs with the same Medicare PAC ID 17

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 17

Laboratory certificates & supplier records

Derived by NPIMap

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

SupplierSuppliesMedicare assignment
Corner Home Medical8380 City Centre Dr, Woodbury, MN 55125-5312(952) 388-0500 Commodes, Urinals, Bedpans|Gastric Suction Pumps|Heat & Cold Applications|Hospital Beds (Electric)|Hospital Beds (Manual)|Support Surfaces: Pressure Reducing Beds/Mats/Pads|Traction Equipment|Ultraviolet Light Devices and/or Supplies|Canes and/or Crutches|Patient Lifts|Power Operated Vehicles (Scoo… Does not accept assignmentParticipating since Mar 4, 2003

National Provider Directory

National Provider Directory
Tax ID family
Corner Medical LLC18 organizations share this tax ID, including this one

Other organizations with this tax ID 17

Organizations that report the same tax identification number in the National Provider Directory.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1308873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450828800000",
    "number": "1285920561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9720 HUMBOLDT AVE S",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554312623",
            "telephone_number": "952-388-0500",
            "fax_number": "952-388-0444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8380 CITY CENTRE DR STE 170",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551255312",
            "telephone_number": "651-403-3502",
            "fax_number": "952-388-0444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNER MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-24",
        "last_updated": "2015-12-23",
        "status": "A",
        "authorized_official_last_name": "STEINHAUSER",
        "authorized_official_first_name": "DAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "763-535-5335",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "MN",
            "license": "361419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Corner Home Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Woodbury, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2015; 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.