Cornerstone of Willmar, Inc.

Primary specialty

Home Modifications ContractorTaxonomy code 171WH0202X

Legal business name

CORNERSTONE OF WILLMAR, INC.

Practice address

1020 Highway 71 NE Ste 102
Willmar, MN 56201-2695

Phone

(320) 231-0727

Fax

(320) 235-0634

NPI assigned

Jun 29, 2020

Last updated

Jun 29, 2020By 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

Clay K Venosdel

Title

President

Phone

(320) 231-0727

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1593388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593388800000",
    "number": "1407473119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 HIGHWAY 71 NE STE 102",
            "city": "WILLMAR",
            "state": "MN",
            "postal_code": "562012695",
            "telephone_number": "320-231-0727",
            "fax_number": "320-235-0634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 HIGHWAY 71 NE STE 102",
            "city": "WILLMAR",
            "state": "MN",
            "postal_code": "562012695",
            "telephone_number": "320-231-0727",
            "fax_number": "320-235-0634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE OF WILLMAR, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-29",
        "last_updated": "2020-06-29",
        "certification_date": "2020-06-29",
        "status": "A",
        "authorized_official_last_name": "VENOSDEL",
        "authorized_official_first_name": "CLAY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "320-231-0727"
    },
    "taxonomies": [
        {
            "code": "171WH0202X",
            "taxonomy_group": "",
            "desc": "Contractor, Home Modifications",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.