NPIMap

Organization Active NPI

Corner Medical LLC

Doing business as Corner Home Medical

  • Durable Medical Equipment & Medical Supplies
  • Fridley, MN
National Provider Identifier
1609261809
Registry record updated Dec 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
33213X2000X Issued in MN
Legal business name
CORNER MEDICAL LLC
Doing business as
Corner Home Medical
Practice address
1270 Moore Lake Dr E
Fridley, MN 55432-5170
Phone
(763) 502-0550
NPI assigned
Apr 3, 2015
Last updated
Dec 22, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2015

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

Authorized official

Name
Dan Steinhauser
Title
President
Phone
(952) 388-0500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 33213X2000X MN Primary

Addresses

Primary practice location

1270 Moore Lake Dr E
Fridley, MN 55432-5170

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
O20151009001797 MN DME Supplier - Medical Supply Company With Respiratory TherapistDME Supplier - Oxygen & Equipment 0143435271 Practice locations: Fridley, 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 Medical1270 Moore Lake Dr E, Fridley, MN 55432-5170(763) 502-0550 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": "1428019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450742400000",
    "number": "1609261809",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1270 MOORE LAKE DR E",
            "city": "FRIDLEY",
            "state": "MN",
            "postal_code": "554325170",
            "telephone_number": "763-502-0550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNER MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-03",
        "last_updated": "2015-12-22",
        "status": "A",
        "authorized_official_last_name": "STEINHAUSER",
        "authorized_official_first_name": "DAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "952-388-0500"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MN",
            "license": "33213X2000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Corner Home Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fridley, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 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.