500 CARLSON PARKWAY OPCO LLC
NPI 1154893907
Skilled Nursing Facility in Minnetonka, MN
NPI Status: Active since December 18, 2018
Contact Information
500 CARLSON PKWY
MINNETONKA, MN
ZIP 55305
Phone: (952) 746-3630
- Organization
- Skilled Nursing Facility
- CLIA Number: 24D0968921
- CLIA Cert. Type: Assisted Living Facility
- CLIA Exp. Date: 12-27-2025
About 500 CARLSON PARKWAY OPCO LLC
This page provides the complete NPI Profile along with additional information for 500 Carlson Parkway Opco Llc, a provider established in Minnetonka, Minnesota operating as a Skilled Nursing Facility. The healthcare provider is registered in the NPI registry with number 1154893907 assigned on December 2018. The practitioner's primary taxonomy code is 314000000X. The provider is registered as an organization and their NPI record was last updated June 2025. The provider's
- NPI
- 1154893907
- Provider Legal Name
- 500 CARLSON PARKWAY OPCO LLC
- Other Organization Name
- Other Name Type
- (6)
- Entity Type
- Organization
- Location Address
- 500 CARLSON PKWY MINNETONKA, MN 55305
- Location Phone
- (952) 746-3630
- Mailing Address
- 5900 CLEARWATER DR STE 500 MINNETONKA, MN 55343
- Mailing Phone
- (952) 241-8211
- Mailing Fax
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 12-18-2018
- Last Update Date
- 06-19-2025
- 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
Skilled Nursing Facility
- Taxonomy Code
- 314000000X
- Type
- Nursing & Custodial Care Facilities
- Taxonomy Description
- (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
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
- 24D0968921
- Facility Type
- Assisted Living Facility
- Certificate Effective Date
- December 28, 2023
- Certificate Expiration Date
- December 27, 2025
- Laboratory Director
- KASEY SANDS
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to 500 Carlson Parkway Opco 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 | 5 | 4 | 8 | 9 | 3 | 9 | 0 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 10 | 4 | 16 | 9 | 6 | 9 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 1 + 0 + 4 + 1 + 6 + 9 + 6 + 9 + 0 + 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 = 7 | 7 | ||||||||
The NPI number 1154893907 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 |
|---|---|---|---|
| 1871826982 | ARC MINNETONKA LLC Organization | Assisted Living Facility | 500 CARLSON PKWY MINNETONKA, MN 55305 (952) 473-3330 |
| 1083957914 | BKD PROJECT 3 MANAGER LLC Organization | Assisted Living Facility | 500 CARLSON PKWY MINNETONKA, MN 55305 (952) 473-3330 |
| 1780629857 | ARC MINNETONKA, LLC Organization | Clinic/Center (Physical Therapy) | 500 CARLSON PKWY MINNETONKA, MN 55305 (615) 221-2250 |
| 1356802862 | FOX REHABILITATION SERVICES MN LLC Organization | Physical Therapist | 500 CARLSON PKWY MINNETONKA, MN 55305 (877) 407-3422 |
| 1548811748 | KATIE NORGARD Individual | Occupational Therapist | 500 CARLSON PKWY MINNETONKA, MN 55305 (877) 407-3422 |
| 1477171049 | LAURA BERRYMAN Individual | Physical Therapist | 500 CARLSON PKWY MINNETONKA, MN 55305 (877) 407-3422 |
| 1477165108 | HANNAH HUERTA PT,DPT Individual | Physical Therapist | 500 CARLSON PKWY MINNETONKA, MN 55305 (877) 407-3422 |
| 1003588419 | EMILY HOYER Individual | Occupational Therapist | 500 CARLSON PKWY MINNETONKA, MN 55305 (877) 407-3422 |
| 1467195487 | KAYLA CHAPMAN Individual | Occupational Therapist | 500 CARLSON PKWY MINNETONKA, MN 55305 (877) 407-3422 |
| 1417682956 | ALAYNA MCCALLEY Individual | Occupational Therapist | 500 CARLSON PKWY MINNETONKA, MN 55305 (877) 407-3422 |
| 1023732955 | KARA JUKER Individual | Occupational Therapist | 500 CARLSON PKWY MINNETONKA, MN 55305 (877) 407-3422 |
| 1760103188 | LINDSAY PURCELL Individual | Occupational Therapist | 500 CARLSON PKWY MINNETONKA, MN 55305 (877) 407-3422 |
| 1568170538 | BRYAN BOWAR Individual | Physical Therapist | 500 CARLSON PKWY MINNETONKA, MN 55305 (877) 407-3422 |
| 1144934670 | AMRIT KAUR DIAZ Individual | Speech-Language Pathologist | 500 CARLSON PKWY MINNETONKA, MN 55305 (877) 407-3422 |
| 1265138358 | LAURA HARDEKOPF Individual | Occupational Therapist | 500 CARLSON PKWY MINNETONKA, MN 55305 (877) 407-3422 |
| 1407552318 | KATELYN KRUGER Individual | Physical Therapist | 500 CARLSON PKWY MINNETONKA, MN 55305 (877) 407-3422 |
| 1851096226 | RENEE SALTNESS Individual | Occupational Therapist | 500 CARLSON PKWY MINNETONKA, MN 55305 (877) 407-3422 |
| 1730860016 | MELISSA ULBRICHT PT Individual | Physical Therapist | 500 CARLSON PKWY MINNETONKA, MN 55305 (877) 407-3422 |
| 1376272948 | REBEKAH VICTORIA TINSLEY Individual | Occupational Therapist | 500 CARLSON PKWY MINNETONKA, MN 55305 (877) 407-3422 |
| 1134998164 | BREANNA MAHONEY Individual | Physical Therapist | 500 CARLSON PKWY MINNETONKA, MN 55305 (877) 407-3422 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1154893907, enumerated in the NPI registry as an "organization" on December 18, 2018
The provider is located at 500 Carlson Pkwy Minnetonka, Mn 55305 and the phone number is (952) 746-3630
This medical organization specializes in Skilled Nursing Facility with taxonomy code 314000000X
The provider's CLIA number is 24D0968921 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 December 18, 2018. 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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