PLATEAU HEALTHCARE JUNE LLC
NPI 1114574464
Nursing Care in Brooklyn Center, MN
NPI Status: Active since August 21, 2019
Contact Information
6424 JUNE AVE N
BROOKLYN CENTER, MN
ZIP 55429
Phone: (763) 444-1361
Fax: (763) 444-1358
- Organization
- Nursing Care
- CLIA Number: 24D2110433
- CLIA Cert. Type: Home Health Agency
- CLIA Exp. Date: 03-14-2026
About PLATEAU HEALTHCARE JUNE LLC
This page provides the complete NPI Profile along with additional information for Plateau Healthcare June Llc, a provider established in Brooklyn Center, Minnesota operating as a Nursing Care. The healthcare provider is registered in the NPI registry with number 1114574464 assigned on August 2019. The practitioner's primary taxonomy code is 251J00000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Mr. Faisale Boukari (President)
- NPI
- 1114574464
- Provider Name
- PLATEAU HEALTHCARE JUNE LLC
- Entity Type
- Organization
- Location Address
- 6424 JUNE AVE N BROOKLYN CENTER, MN 55429
- Location Phone
- (763) 444-1361
- Location Fax
- (763) 444-1358
- Mailing Address
- 8848 ZEALAND AVE N STE B BROOKLYN PARK, MN 55445
- Mailing Phone
- (763) 444-1361
- Mailing Fax
- (763) 444-1358
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-21-2019
- Last Update Date
- 08-21-2019
- 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
Nursing Care
- Taxonomy Code
- 251J00000X
- Type
- Agencies
- Taxonomy Description
- A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services.
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) |
|---|---|---|---|---|
| 1 | 251E00000X | Agencies | Home Health | |
| 2 | 253Z00000X | Agencies | In Home Supportive Care |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 24D2110433
- Facility Type
- Home Health Agency
- Certificate Effective Date
- March 15, 2024
- Certificate Expiration Date
- March 14, 2026
- Laboratory Director
- FAISALE S. BOUKARI
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Plateau Healthcare June Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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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. | |||||||||
| 1 | 1 | 1 | 4 | 5 | 7 | 4 | 4 | 6 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 2 | 4 | 10 | 7 | 8 | 4 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 2 + 4 + 1 + 0 + 7 + 8 + 4 + 1 + 2 + 24 = 56 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 56 = 4 | 4 | ||||||||
The NPI number 1114574464 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following provider is registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1134431802 | PLATEAU HEALTHCARE LLC Organization | Nursing Care | 6424 JUNE AVE N BROOKLYN CENTER, MN 55429 (763) 444-1361 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1114574464, enumerated in the NPI registry as an "organization" on August 21, 2019
The provider is located at 6424 June Ave N Brooklyn Center, Mn 55429 and the phone number is (763) 444-1361
This medical organization specializes in Nursing Care with taxonomy code 251J00000X
The provider's CLIA number is 24D2110433 for a "home health agency" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on August 21, 2019. 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].
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