NPIMap

Organization Active NPI

Corner Medical LLC

  • Durable Medical Equipment & Medical Supplies
  • Apple Valley, MN
National Provider Identifier
1851425904
Registry record updated Dec 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
6217702 Issued in MN
Legal business name
CORNER MEDICAL LLC
Practice address
14690 Galaxie Ave
Suite 118
Apple Valley, MN 55124-8522
Phone
(952) 953-9945
Fax
(952) 953-9957
NPI assigned
Mar 14, 2007
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
Durable Medical Equipment & Medical Supplies 332B00000X 6217702 MN Primary

Addresses

Primary practice location

14690 Galaxie Ave
Suite 118
Apple Valley, MN 55124-8522

Mailing address

14690 Galaxie Ave
Suite 118
Apple Valley, MN 55124-8522
Phone (952) 953-9945

Other identifiers 1

IdentifierTypeStateIssuer
472415100MedicaidMN

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
O20100930071112 MN DME Supplier - Medical Supply Company With Respiratory TherapistDME Supplier - Oxygen & EquipmentDME Supplier - Medical Supply Company With Orthotic Personnel 0143435271 Practice locations: Apple Valley, 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 Medical LLC14690 Galaxie Ave, Apple Valley, MN 55124-8522(952) 953-9657 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|Seat Lift Mechanisms|Walkers|… 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

Locations

1267 Highway 25 N
Buffalo, MN 55313
Phone (612) 236-0116

124 Emerson St N
Cambridge, MN 55008
Phone (763) 689-9300

1201 Center Ave W
Dilworth, MN 56529
Phone (218) 359-2122

4418 Haines Rd
Ste 1200
Duluth, MN 55811
Phone (218) 722-3420

125 N Minnesota St
New Ulm, MN 56073
Phone (507) 228-8100

36 17th Ave NW
Rochester, MN 55901

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450828800000",
    "number": "1851425904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14690 GALAXIE AVE",
            "address_2": "SUITE 118",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551248522",
            "telephone_number": "952-953-9945",
            "fax_number": "952-953-9957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14690 GALAXIE AVE",
            "address_2": "SUITE 118",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551248522",
            "telephone_number": "952-953-9945",
            "fax_number": "952-953-9957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNER MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "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": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MN",
            "license": "6217702",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "472415100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Corner Home Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Apple Valley, 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.