GLACIAL RIDGE HOSPICE
NPI 1134134877
Hospice Care, Community Based in Glenwood, MN

NPI Status: Active since July 30, 2006

Contact Information

10 4TH AVE SE
GLENWOOD, MN
ZIP 56334
Phone: (320) 634-4521
Fax: (320) 634-2262

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  • Organization
  • Hospice Care, Community Based
  • Accepts Insurance

About GLACIAL RIDGE HOSPICE

This page provides the complete NPI Profile along with additional information for Glacial Ridge Hospice, a provider established in Glenwood, Minnesota operating as a Hospice Care, Community Based. The healthcare provider is registered in the NPI registry with number 1134134877 assigned on July 2006. The practitioner's primary taxonomy code is 251G00000X with license number 330166 (MN). The provider is registered as an organization and their NPI record was last updated 15 years ago. The provider's is doing business as Glacial Ridge Hospice. The authorized official of this NPI record is Kirk Stensrud (Ceo)

NPI
1134134877
Provider Legal Name
GLACIAL RIDGE HOSPITAL DISTRICT
Other Organization Name
GLACIAL RIDGE HOSPICE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
10 4TH AVE SE GLENWOOD, MN 56334
Location Phone
(320) 634-4521
Location Fax
(320) 634-2262
Mailing Address
10 4TH AVE SE GLENWOOD, MN 56334
Mailing Phone
(320) 634-4521
Mailing Fax
(320) 634-2262
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-30-2006
Last Update Date
08-23-2010
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According to the Hospice Quality Reporting Program (HQRP) data this facility is combination government & non-profit and was certified on 10-25-1984 This facility was recently evaluated on the following quality measures: average daily census, hospice served at least 1 patient with both medicare and medicaid coverage during one year, hospice served at least 1 patient enrolled in medicare advantage during one year, care provided in assisted living facility and care provided in home, etc.

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

Hospice Care, Community Based

Taxonomy Code
251G00000X
Type
Agencies
License No.
330166
License State
MN

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Atlas $1,000 Gold - PPO
  • Atlas $1,500 Standard Gold - PPO
  • Atlas $2,650 Plus Silver - PPO
  • Atlas $3,500 HSA Silver - PPO
  • Atlas $5,000 Standard Silver - PPO
  • Atlas $6,500 Plus Bronze - PPO
  • Atlas $7,500 Standard Bronze - PPO
  • Atlas $8,200 HSA Bronze - PPO
  • Atlas $9,200 Catastrophic - PPO
  • Sanford Individual Simplicity $1,750 - PPO
  • Sanford Individual Simplicity $3,500 - PPO
  • Sanford Individual Simplicity $4,750 - PPO
  • Sanford Individual Simplicity $6,000 - PPO
  • Sanford Individual Simplicity $7,100 HSA Qualified - PPO
  • Sanford Individual Simplicity $9,200 - PPO
  • Sanford Individual Simplicity Standardized $1,500 - PPO
  • Sanford Individual Simplicity Standardized $5,000 - PPO
  • Sanford Individual Simplicity Standardized $7,500 - PPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

KIRK STENSRUD

Authorized Official Title
CEO
Authorized Official Phone
(320) 634-2208

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
5025463OTHER (01)MEDICA
24-1502MEDICARE ID-TYPE UNSPECIFIED (04) 
3Z11POOTHER (01)MNBLUE CROSS
284-555-500MEDICAID (05)MN 

Hospice Care Information

The Centers for Medicare and Medicaid Services Hospice Quality Reporting Program (HQRP) data provides information on the quality of care that hospice facilities are providing to their patients. The quality reporting data gives families and patients the information they need to decide which hospice is right for them.

CMS Certification Number (CCN)241502
Ownership TypeCombination Government & Non-Profit
Medicare Certification Date10-25-1984
Quality Measure Measure Score
Average Daily Census
Number of patients cared for by a hospice on average each day
9.0
Hospice served at least 1 patient with both Medicare and Medicaid coverage during one year
1= Hospice served at least 1 patient with both Medicaid and Medicare coverage OR 0 = Hospice did not serve any patients with both Medicaid and Medicare coverage
Yes
Hospice served at least 1 patient enrolled in Medicare Advantage during one year
1 = Hospice served at least one patient enrolled in Medicare Advantage OR 0 = Hospice did not serve any patients enrolled in Medicare Advantage
Yes
Care Provided in Assisted Living Facility
Percentage of days patients received care in an assisted living facility
26
Care Provided in Home
Percentage of days patients received care in home
27
Care Provided in Inpatient Hospice Facility
Percentage of days patients received care in an inpatient hospice
0 - Value is based on one year of data and does not indicate that the hospice would have 0% in more recent years.
Care Provided in Inpatient Hospital Facility
Percentage of days patients received care in an inpatient hospital
Not Available - Number of patients is too small to report.
Care Provided in Nursing Facility
Percentage of days patients received care in a nursing facility
Not Available - Number of patients is too small to report.
Care Provided in All other locations
Percentage of days patients received care in other locations
Not Available - Number of patients is too small to report.
Care Provided in Skilled Nursing Facility
Percentage of days patients received care in a skilled nursing facility
44
Hospice and Palliative Care Treatment Preferences
Facility observed rate
100.0
Beliefs & Values Addressed (if desired by the patient)
Facility observed rate
97.6
Hospice and Palliative Care Pain Screening
Facility observed rate
98.8
Hospice and Palliative Care Pain Assessment
Facility observed rate
97.7
Hospice and Palliative Care Dyspnea Screening
Facility observed rate
100.0
Hospice and Palliative Care Dyspnea Treatment
Facility observed rate
93.0
Patient Treated with an Opioid Who Are Given a Bowel Regimen
Facility observed rate
86.4
Hospice and Palliative Care Composite Process Measure
Facility observed rate
89.0
Hospice Visits in the Last Days of Life
95
Hospice Visits in the Last Days of Life
Facility observed rate
42.1
Hospice Care Index Overall Score
Facility observed rate
8.0
CHC/GIP provided (% days)
9,223
CHC/GIP provided (% days)
Facility observed rate
0.1
CHC/GIP provided (% days)
65
Gaps in nursing visits (% elections)
66
Gaps in nursing visits (% elections)
Facility observed rate
66.7
Gaps in nursing visits (% elections)
68
Early live discharges (% live discharges)
16
Early live discharges (% live discharges)
Facility observed rate
0.0
Early live discharges (% live discharges)
19
Late live discharges (% live discharges)
16
Late live discharges (% live discharges)
Facility observed rate
31.3
Late live discharges (% live discharges)
28
Burdensome transitions, Type 1(% live discharges)
16
Burdensome transitions, Type 1 (% live discharges)
Facility observed rate
0.0
Burdensome transitions, Type 1 (% live discharges)
19
Burdensome transitions, Type 2(% live discharges)
16
Burdensome transitions, Type 2 (% live discharges)
Facility observed rate
0.0
Burdensome transitions, Type 2 (% live discharges)
43
Per-beneficiary spending (U.S. dollars $)
145
Per-beneficiary spending (U.S. dollars $)
Facility observed rate
11,098
Per-beneficiary spending (U.S. dollars $)
18
Nurse care minutes per routine home care days (minutes)
9,170
Nurse care minutes per routine home care days (minutes)
Facility observed rate
7.9
Nurse care minutes per routine home care days (minutes)
9
Skilled nursing minutes on weekends (% minutes)
72,675
Skilled nursing minutes on weekends (% minutes)
Facility observed rate
3.8
Skilled nursing minutes on weekends (% minutes)
7
Visits near death (% decedents)
117
Visits near death (% decedents)
Facility observed rate
84.6
Visits near death (% decedents)
20
Percent of Patients with Cancer
Percentage of patients at hospice who had Cancer as their primary diagnosis
26
Percent of Patients with Circulatory/heart disease
Percentage of patients at hospice who had Circulatory Heart Disease as their primary diagnosis
Not Available - Number of patients is too small to report.
Percent of Patients with Dementia
Percentage of patients at hospice who had Dementia as their primary diagnosis
16
Percent of Patients with Other Conditions
Percentage of patients at hospice who had some other conditions as their primary diagnosis
0 - Value is based on one year of data and does not indicate that the hospice would have 0% in more recent years.
Percent of Patients with Respiratory disease
Percentage of patients at hospice who had Respiratory Disease as their primary diagnosis
0 - Value is based on one year of data and does not indicate that the hospice would have 0% in more recent years.
Percent of Patients with Stroke
Percentage of patients at hospice who had Stroke as their primary diagnosis
Not Available - Number of patients is too small to report.
Provided Routine Home Care and other levels of care
Th hospice had at least one incidence of routine home care and at least one more incidence of care at another level. Blank: hospice only provided care at routine home care level
Yes
Provided Routine Home Care only
The hospice had at least one incidence of RHC over the 3 years, and no incidences of care at any other level. Blank: the hospice had at least one incidence of care at another level
No

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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.
1134134877
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2164238814
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 6 + 4 + 2 + 3 + 8 + 8 + 1 + 4 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1134134877 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1154345759 ELIZABETH ANN ANKENY FNP-C
Individual
Nurse Practitioner (Family)10 4TH AVE SE
GLENWOOD, MN 56334
(320) 634-4521
1649284712 ROBERT PALENCIA MONTENEGRO M.D.
Individual
Family Medicine10 4TH AVE SE
GLENWOOD, MN 56334
(320) 634-4521
1871507954 JEFFREY ALAN SCHLUETER M.D.
Individual
Family Medicine10 4TH AVE SE
GLENWOOD, MN 56334
(320) 634-4521
1578577656 DUANE ERIC WESTBERG M.D.
Individual
Family Medicine10 4TH AVE SE
GLENWOOD, MN 56334
(320) 634-4521
1942214002 RODERICK BENJAMIN BROWN M.D.
Individual
Family Medicine10 4TH AVE SE
GLENWOOD, MN 56334
(320) 634-2215
1902810062 THOMAS JOHN HAUS M.D.
Individual
Family Medicine10 4TH AVE SE
GLENWOOD, MN 56334
(320) 634-4521
1871501734 JESSICA MAE VANDERHAGEN FNP-C
Individual
Nurse Practitioner (Family)10 4TH AVE SE
GLENWOOD, MN 56334
(320) 634-4521
1922017052GLACIAL RIDGE HOSPITAL DISTRICT
Organization
Home Health10 4TH AVE SE
GLENWOOD, MN 56334
(320) 634-4521
1649319146GLACIAL RIDGE HOSPITAL DISTRICT
Organization
Medicare Defined Swing Bed Unit10 4TH AVE SE
GLENWOOD, MN 56334
(320) 634-4521
1821242728MS. JENNA NICOLE MYROM FNP
Individual
Nurse Practitioner (Family)10 4TH AVE SE
GLENWOOD, MN 56334
(320) 634-4521
1760785851 KARA DIANE MRNAK RN
Individual
Registered Nurse (Wound Care)10 4TH AVE SE
GLENWOOD, MN 56334
(320) 634-4521
1417205725GLACIAL RIDGE HEALTH SYSTEM
Organization
Non-Pharmacy Dispensing Site10 4TH AVE SE
GLENWOOD, MN 56334
(320) 634-4521
1811240336GLACIAL RIDGE HEALTH SYSTEM
Organization
Non-Pharmacy Dispensing Site10 4TH AVE SE
GLENWOOD, MN 56334
(320) 634-5157
1568868024 DANA LYN CITROWSKE LEE CRNA
Individual
Nurse Anesthetist, Certified Registered10 4TH AVE SE
GLENWOOD, MN 56334
(320) 634-4521
1871562926 GUSTAVE L MELLGREN M.D.
Individual
Family Medicine10 4TH AVE SE
GLENWOOD, MN 56334
(320) 634-5157
1700028693 ERIN R DAHLKE M.D.
Individual
Family Medicine10 4TH AVE SE
GLENWOOD, MN 56334
(320) 634-5157
1427210533DR. DAVID EDWARD POLZIN M.D.
Individual
Family Medicine10 4TH AVE SE
GLENWOOD, MN 56334
(320) 634-5157
1386612661 REBECCA J MEINECKE PA-C
Individual
Physician Assistant10 4TH AVE SE
GLENWOOD, MN 56334
(320) 634-4521
1538115753MS. REBEKAH RUTH RICK PA
Individual
Physician Assistant (Medical)10 4TH AVE SE
GLENWOOD, MN 56334
(320) 634-5157
1942889209 JESSICA LYNN WILSON CNP
Individual
Nurse Practitioner (Primary Care)10 4TH AVE SE
GLENWOOD, MN 56334
(320) 634-4521

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1134134877, enumerated in the NPI registry as an "organization" on July 30, 2006

The provider is located at 10 4th Ave Se Glenwood, Mn 56334 and the phone number is (320) 634-4521

This medical organization specializes in Hospice Care, Community Based with taxonomy code 251G00000X

The provider might be accepting Accepts: HealthPartners, Sanford Health Plan, Medica Health. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on July 30, 2006. 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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