PARK VIEW ASSISTED LIVING
NPI 1154506368
Assisted Living Facility in Buffalo, MN

NPI Status: Active since January 07, 2008

Contact Information

613 MONTROSE BLVD
BUFFALO, MN
ZIP 55313
Phone: (763) 684-4866
Fax: (763) 682-6855

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  • Organization
  • Assisted Living Facility
  • CLIA Number: 24D1075989
  • CLIA Cert. Type: Assisted Living Facility
  • CLIA Exp. Date: 11-01-2025

About PARK VIEW ASSISTED LIVING

This page provides the complete NPI Profile along with additional information for Park View Assisted Living, a provider established in Buffalo, Minnesota operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1154506368 assigned on January 2008. The practitioner's primary taxonomy code is 310400000X with license number 337997 (MN). The provider is registered as an organization and their NPI record was last updated one year ago. The provider's is doing business as Park View Assisted Living. The authorized official of this NPI record is Seelochani Stadtherr (Senior Director Of Reimbursement)

NPI
1154506368
Provider Legal Name
PARK TERRACE ASSISTED LIVING, INC.
Other Organization Name
PARK VIEW ASSISTED LIVING
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
613 MONTROSE BLVD BUFFALO, MN 55313
Location Phone
(763) 684-4866
Location Fax
(763) 682-6855
Mailing Address
613 MONTROSE BLVD BUFFALO, MN 55313
Mailing Phone
(763) 684-4866
Mailing Fax
(763) 682-6855
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
01-07-2008
Last Update Date
04-15-2024
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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
License No.
337997
License State
MN
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.

Insurance Plans Accepted

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

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

SEELOCHANI STADTHERR

Authorized Official Title
SENIOR DIRECTOR OF REIMBURSEMENT
Authorized Official Phone
(952) 855-5041

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
766470000MEDICAID (05)MN 

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
24D1075989
Facility Type
Assisted Living Facility
Certificate Effective Date
November 02, 2023
Certificate Expiration Date
November 01, 2025
Laboratory Director
LAURYN COTTRELL
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Park View Assisted Living 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.
1154506368
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2110410012312
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 0 + 4 + 1 + 0 + 0 + 1 + 2 + 3 + 1 + 2 + 24 = 42
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 42 = 88

The NPI number 1154506368 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154506368, enumerated in the NPI registry as an "organization" on January 07, 2008

The provider is located at 613 Montrose Blvd Buffalo, Mn 55313 and the phone number is (763) 684-4866

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

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 24D1075989 for a "assisted living facility" 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 January 07, 2008. 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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