MEADOW CREEK LLC
NPI 1033233788
Substance Abuse Rehabilitation Facility in Pine City, MN

NPI Status: Active since March 19, 2007

Contact Information

17305 MEADOW CREEK LANE
PINE CITY, MN
ZIP 55063
Phone: (763) 444-4838
Fax: (763) 444-6007

Get Directions Reviews

  • Organization
  • Substance Abuse Rehabilitation Facility

About MEADOW CREEK LLC

This page provides the complete NPI Profile along with additional information for Meadow Creek Llc, a provider established in Pine City, Minnesota operating as a Substance Abuse Rehabilitation Facility. The healthcare provider is registered in the NPI registry with number 1033233788 assigned on March 2007. The practitioner's primary taxonomy code is 324500000X with license number 804733 2 CDT (MN). The provider is registered as an organization and their NPI record was last updated one year ago. The provider's . The authorized official of this NPI record is Lewis P Zeidner Phd (Ceo)

NPI
1033233788
Provider Legal Name
MEADOW CREEK LLC
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
17305 MEADOW CREEK LANE PINE CITY, MN 55063
Location Phone
(763) 444-4838
Location Fax
(763) 444-6007
Mailing Address
550 MAIN STREET SUITE 230 NEW BRIGHTON, MN 55112
Mailing Phone
(612) 326-7600
Mailing Fax
(763) 444-6007
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-19-2007
Last Update Date
02-21-2025
Code Navigator

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Substance Abuse Rehabilitation Facility

Taxonomy Code
324500000X
Type
Residential Treatment Facilities
License No.
804733 2 CDT
License State
MN
Taxonomy Description
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1324500000XResidential Treatment Facilities

Substance Abuse Rehabilitation Facility

804733 (MN)
2324500000XResidential Treatment Facilities

Substance Abuse Rehabilitation Facility

1033825 2 DS (MN)

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

LEWIS P ZEIDNER PHD

Authorized Official Title
CEO
Authorized Official Phone
(763) 245-8278

Reviews for MEADOW CREEK LLC

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1033233788
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2063436716
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 6 + 3 + 4 + 3 + 6 + 7 + 1 + 6 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 88

The NPI number 1033233788 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1407149396MISS SHELLEY ANN SKARDA B.S. LADC
Individual
Counselor (Addiction (Substance Use Disorder))17305 MEADOW CREEK LANE
PINE CITY, MN 55063
(763) 444-4838
1063705929 MARIANNE BERNADETTE THIRY LADC
Individual
Counselor (Addiction (Substance Use Disorder))17305 MEADOW CREEK LANE
PINE CITY, MN 55063
(763) 444-4878
1205347465 SHIRLEEN KAY ROACH LAMFT
Individual
Counselor (Mental Health)17305 MEADOW CREEK LANE
PINE CITY, MN 55063
(763) 444-4838
1942413687MEADOW CREEK, INC
Organization
Substance Abuse Rehabilitation Facility17305 MEADOW CREEK LANE
PINE CITY, MN 55063
(612) 326-7555

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1033233788, enumerated in the NPI registry as an "organization" on March 19, 2007

The provider is located at 17305 Meadow Creek Lane Pine City, Mn 55063 and the phone number is (763) 444-4838

This medical organization specializes in Substance Abuse Rehabilitation Facility with taxonomy code 324500000X

This NPI record was last updated on March 19, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.