Cornerstone Nursing and Rehab Center, Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

CORNERSTONE NURSING AND REHAB CENTER, INC

Practice address

416 7TH St NE
Bagley, MN 56621-8108

Phone

(218) 694-6552

Fax

(218) 694-6987

NPI assigned

Nov 28, 2007

Last updated

Mar 23, 2020By the provider in NPPES

Organization subpart

Yes

Parent organization

HEALTH SERVICES NETWORK, INCAs reported in NPPES

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

Authorized official

Name

Mr. Allen Potvin

Title

Owner/President

Phone

(218) 435-6205

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1861674277. Details of each certification follow.

• CCN 245307 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 245307

Legal name

CORNERSTONE NURSING AND REHAB CENTER, INC

Doing business as

CLA

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Mar 1, 1986

Last certification

Jul 17, 2024

Beds

47

Ownership / control type

Corporation

Organization structure

CorporationProprietary

Enrollment address

416 7TH St NE
Bagley, MN 56621-8108

Nursing home name

CORNERSTONE NSG & REHAB CENTER

Listed as

Cornerstone NSG & Rehab CenterCCN 245307 · All quality measures

Overall star rating

5 of 5

Health inspections

4 of 5

Staffing

5 of 5

Quality measures

2 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

Mar 1, 1986

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

4739.9 residents per day on average

Processed by Care Compare on Aug 1, 2026.

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

CLIA laboratory certificates

Part of

Health Services Network Inc

All disclosed owners & managing parties 18

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Choice Therapy, P.a.

  • Rehabilitation Clinic/Center
  • Bemidji, MN
  • NPI 1831325620

  Adp of the SNF, Operational/Managerial Control

  CMS ownership
• Esther Potti, MD

  • Family Medicine Physician
  • Bagley, MN
  • NPI 1053381798

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Health Services Network, Inc

  dba Cornerstone Residence

  • Assisted Living Facility
  • Fosston, MN
  • NPI 1124051818
  NPPES parent name

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Esther Potti, MD

  • Family Medicine Physician
  • Bagley, MN
  • NPI 1053381798
  NPD (past)
• Andre Spence, M.D.

  • Internal Medicine Physician
  • Bagley, MN
  • NPI 1861621153
  NPD (past)

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Esther Potti, MD

  • Family Medicine Physician
  • Bagley, MN
  • NPI 1053381798

  Nursing home

  Care Compare affiliation
• Andre Spence, M.D.

  • Internal Medicine Physician
  • Bagley, MN
  • NPI 1861621153

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1196208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584921600000",
    "number": "1861674277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 2ND ST NE",
            "city": "FOSSTON",
            "state": "MN",
            "postal_code": "565421302",
            "telephone_number": "218-435-6205",
            "fax_number": "218-435-6336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 7TH ST NE",
            "city": "BAGLEY",
            "state": "MN",
            "postal_code": "566218108",
            "telephone_number": "218-694-6552",
            "fax_number": "218-694-6987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE NURSING AND REHAB CENTER, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HEALTH SERVICES NETWORK, INC",
        "enumeration_date": "2007-11-28",
        "last_updated": "2020-03-23",
        "certification_date": "2020-03-23",
        "status": "A",
        "authorized_official_last_name": "POTVIN",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "218-435-6205",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "458430000",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Clearwater Cnty Mem Hosp Phcy
• Clearwater County Department of Human Services
• Clearwater County Memorial Hospital (Clearwater Health Services)
• Clearwater County Memorial Hospital (Clearwater Health Services Clinic)
• Clearwater Health Services (Greensview Care Center)
• Cornerstone Residence of Bagley, Inc
• Cornerstone Senior Living, LLC (Cornerstone Residence Senior Care)
• County of Clearwater (Clearwater County Nursing Service)
• Kirsten Ruth Craft, MA, LPCC
• Kimberly Kae Crist, LPN

• Skilled Nursing Facility in Bagley, MN
• Providers in Bagley, MN by specialty
• Skilled Nursing Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.