KEYSTONE HIGHLAND
NPI 1134505092
Assisted Living Facility in Saint Paul, MN

NPI Status: Active since August 03, 2015

Contact Information

750 MISSISSIPPI RIVER BLVD S
SAINT PAUL, MN
ZIP 55116
Phone: (651) 698-1111
Fax: (651) 698-8688

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  • Organization
  • Assisted Living Facility

About KEYSTONE HIGHLAND

This page provides the complete NPI Profile along with additional information for Keystone Highland, a provider established in Saint Paul, Minnesota operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1134505092 assigned on August 2015. The practitioner's primary taxonomy code is 310400000X. The provider is registered as an organization and their NPI record was last updated 10 years ago. The provider's is doing business as Keystone Highland. The authorized official of this NPI record is Ryan Novaczyk (President)

NPI
1134505092
Provider Legal Name
HIGHLAND PARK OPS LLC
Other Organization Name
KEYSTONE HIGHLAND
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
750 MISSISSIPPI RIVER BLVD S SAINT PAUL, MN 55116
Location Phone
(651) 698-1111
Location Fax
(651) 698-8688
Mailing Address
7625 GOLDEN TRIANGLE DR SUITE T EDEN PRAIRIE, MN 55344
Mailing Phone
(952) 241-8202
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-03-2015
Last Update Date
08-03-2015
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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

Assisted Living Facility

Taxonomy Code
310400000X
Type
Nursing & Custodial Care Facilities
Taxonomy Description
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

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

RYAN NOVACZYK

Authorized Official Title
PRESIDENT
Authorized Official Phone
(952) 241-8204

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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.
1134505092
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
216410010018
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 6 + 4 + 1 + 0 + 0 + 1 + 0 + 0 + 1 + 8 + 24 = 48
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 48 = 22

The NPI number 1134505092 is valid because the calculated check digit 2 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
1073402434750 MISSISSIPPI RIVER OPCO LLC
Organization
Skilled Nursing Facility750 MISSISSIPPI RIVER BLVD S
SAINT PAUL, MN 55116
(651) 698-1111

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1134505092, enumerated in the NPI registry as an "organization" on August 03, 2015

The provider is located at 750 Mississippi River Blvd S Saint Paul, Mn 55116 and the phone number is (651) 698-1111

This medical organization specializes in Assisted Living Facility with taxonomy code 310400000X

This NPI record was last updated on August 03, 2015. 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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