MEDICARE: CORNERSTONE ASSISTED LIVING OF PLYMOUTH, INC.

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	310400000X	Assisted Living Facility	329138	MN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	329138	OTHER	MN	MINNEOSTA STATE LICENSE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1518955277
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CORNERSTONE ASSISTED LIVING OF PLYMOUTH, INC.

Provider Business Mailing Address
First Line	:	3750 LAWNDALE LN N
Second Line	:
City	:	PLYMOUTH
State	:	MN
Zip	:	55446-2967
Country	:	US
Telephone Number	:	763-550-0333
Fax Number	:	763-390-1888

Provider Business Practice Location Address
First Line	:	3750 LAWNDALE LN N
Second Line	:
City	:	PLYMOUTH
State	:	MN
Zip	:	55446-2967
Country	:	US
Telephone Number	:	763-550-0333
Fax Number	:	763-390-1888

Authorized Official
Title or Position	:	ASSOCIATE VP OF REVENUE CYCLE MGMT
Name	:	SEELOCHANI STADTHERR
Credential	:
Telephone Number	:	952-855-5041

Provider Enumeration Date	:	10/07/2005
Last Update Date	:	11/21/2025

Similar Medicare Providers

1740119544 — AFYA GUBARA
Practice Location Address:

5010 CHESHIRE LN N
PLYMOUTH, MN
55446-3863

Practice Phone: 952-147-3581
Practice Fax:

1902736630 — JULIANA BERMUDEZ CASTRO
Practice Location Address:

5010 CHESHIRE LN N
PLYMOUTH, MN
55446-3863

Practice Phone: 612-439-4650
Practice Fax:

1063414845 — DAVID W SPIGHT DO
Practice Location Address:

15700 37TH AVE N STE 150
PLYMOUTH, MN
55446-3675

Practice Phone: 651-968-5201
Practice Fax: 651-968-5904

1477545135 — DR. WILLIAM L LASPE D.D.S.
Practice Location Address:

15650 36TH AVE N
PLYMOUTH, MN
55446-2560

Practice Phone: 763-557-0287
Practice Fax: 763-557-0295

1407849391 — ROBERT A POLLOCK MD
Practice Location Address:

4570 JEWEL LN N
PLYMOUTH, MN
55446-2448

Practice Phone: 952-738-1420
Practice Fax:

1801881370 — DR. ABDOLLAH RAHIMI
Practice Location Address:

15600 36TH AVE N , SUITE 100
PLYMOUTH, MN
55446-3369

Practice Phone: 763-559-7688
Practice Fax: 763-559-2237

Directions to “CORNERSTONE ASSISTED LIVING OF PLYMOUTH, INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.