MEDICARE: CORNERSTONE RESIDENTIAL SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1326988619
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CORNERSTONE RESIDENTIAL SERVICES

Provider Business Mailing Address
First Line	:	6578 27TH ST S
Second Line	:
City	:	FARGO
State	:	ND
Zip	:	58104-7968
Country	:	US
Telephone Number	:	701-793-3264
Fax Number	:	701-793-3264

Provider Business Practice Location Address
First Line	:	6578 27TH ST S
Second Line	:
City	:	FARGO
State	:	ND
Zip	:	58104-7968
Country	:	US
Telephone Number	:	701-793-3264
Fax Number	:	701-793-3264

Authorized Official
Title or Position	:	OWNER
Name	:	CHRISTIAN M BRAIMA
Credential	:	QSP
Telephone Number	:	701-793-3264

Provider Enumeration Date	:	03/30/2026
Last Update Date	:	03/30/2026

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Directions to “CORNERSTONE RESIDENTIAL SERVICES ” Practice Location

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