TRANQUILITY MINNESOTA
NPI 1164262408
Clinic/Center - Mental Health (Including Community Mental Health Center) in Eden Prairie, MN

NPI Status: Active since May 24, 2024

Contact Information

6385 OLD SHADY OAK RD STE 250
EDEN PRAIRIE, MN
ZIP 55344
Phone: (612) 404-9640
Fax: (612) 238-0100

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  • Organization
  • Clinic/Center
  • Mental Health (Including Community Menta...

About TRANQUILITY MINNESOTA

This page provides the complete NPI Profile along with additional information for Tranquility Minnesota, a provider established in Eden Prairie, Minnesota operating as a Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1164262408 assigned on May 2024. The practitioner's primary taxonomy code is 261QM0801X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Mr. Emmanuel Sumo Miantona (Program Director)

NPI
1164262408
Provider Name
TRANQUILITY MINNESOTA
Entity Type
Organization
Location Address
6385 OLD SHADY OAK RD STE 250 EDEN PRAIRIE, MN 55344
Location Phone
(612) 404-9640
Location Fax
(612) 238-0100
Mailing Address
6385 OLD SHADY OAK RD STE 250 C/O BETTERHEALTH EDEN PRAIRIE, MN 55344
Mailing Phone
(612) 404-9640
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-24-2024
Last Update Date
05-24-2024
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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

Clinic/Center Mental Health (Including Community Mental Health Center)

Taxonomy Code
261QM0801X
Type
Ambulatory Health Care Facilities

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

MR. EMMANUEL SUMO MIANTONA

Authorized Official Title
PROGRAM DIRECTOR
Authorized Official Phone
(612) 404-9640

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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.
1164262408
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2112446440
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 2 + 4 + 4 + 6 + 4 + 4 + 0 + 24 = 52
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 52 = 88

The NPI number 1164262408 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 19 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1467928259GESIVA MEDICAL, LLC
Organization
Durable Medical Equipment & Medical Supplies6385 OLD SHADY OAK RD STE 250
EDEN PRAIRIE, MN 55344
(866) 344-3748
1689797102ACUTE HOME HEALTH CARE OF MN
Organization
Custodial Care Facility (Adult Care Home)6385 OLD SHADY OAK RD STE 250
EDEN PRAIRIE, MN 55344
(952) 361-0080
1902378763 JOHN A GUNVALSON LPCC
Individual
Counselor (Mental Health)6385 OLD SHADY OAK RD STE 250
EDEN PRAIRIE, MN 55344
(952) 653-9500
1841650439HEALING & RESTORATION CONSULTING LLC
Organization
Clinic/Center (Mental Health (Including Community Mental Health Center))6385 OLD SHADY OAK RD STE 250
EDEN PRAIRIE, MN 55344
(612) 216-1114
1376162941TWIN CITIES RECOVERY CENTER LLC
Organization
Community/Behavioral Health6385 OLD SHADY OAK RD STE 250
EDEN PRAIRIE, MN 55344
(612) 226-0907
1174119200 ABDI ADAN ALI
Individual
Counselor (Mental Health)6385 OLD SHADY OAK RD STE 250
EDEN PRAIRIE, MN 55344
(612) 226-0907
1952992984NECESSARY NUTRITION LLC
Organization
Dietitian, Registered6385 OLD SHADY OAK RD STE 250
EDEN PRAIRIE, MN 55344
(608) 792-2585
1184319220OAK SUPPORT SERVICES LLC
Organization
Clinic/Center6385 OLD SHADY OAK RD STE 250
EDEN PRAIRIE, MN 55344
(210) 810-5858
1578248126247 HOUSING
Organization
Case Management6385 OLD SHADY OAK RD STE 250
EDEN PRAIRIE, MN 55344
(612) 741-5399
1255199345MR. SAID A MOALIMYUSUF
Individual
Contractor (Vehicle Modifications)6385 OLD SHADY OAK RD STE 250
EDEN PRAIRIE, MN 55344
(763) 807-8140
1679329940WISEMIND BEHAVIORAL HEALTH, LLC
Organization
Counselor (Professional)6385 OLD SHADY OAK RD STE 250
EDEN PRAIRIE, MN 55344
(612) 440-1604
1902639891ROHMAN COUNSELING, LLC
Organization
Clinic/Center (Mental Health (Including Community Mental Health Center))6385 OLD SHADY OAK RD STE 250
EDEN PRAIRIE, MN 55344
(952) 491-0192
1215761101BEACON STARS, INC
Organization
Early Intervention Provider Agency6385 OLD SHADY OAK RD STE 250
EDEN PRAIRIE, MN 55344
(612) 483-9370
1538960265PILLARS BEHAVIORAL HEALTH
Organization
Clinic/Center6385 OLD SHADY OAK RD STE 250
EDEN PRAIRIE, MN 55344
(952) 540-7415
1558156364MINDFUL PATHWAY CENTER
Organization
Early Intervention Provider Agency6385 OLD SHADY OAK RD STE 250
EDEN PRAIRIE, MN 55344
(612) 600-2198
1588498448ABILITY AVENUES LLC
Organization
Early Intervention Provider Agency6385 OLD SHADY OAK RD STE 250
EDEN PRAIRIE, MN 55344
(952) 900-2344
1922890425ASPIRAKIDS
Organization
Early Intervention Provider Agency6385 OLD SHADY OAK RD STE 250
EDEN PRAIRIE, MN 55344
(612) 394-4012
1144082959BETTERHEALTH LLC
Organization
Home Health6385 OLD SHADY OAK RD STE 250
EDEN PRAIRIE, MN 55344
(609) 541-8731
1417849837 SAID ABDINASIR MUHUMED
Individual
Behavior Technician6385 OLD SHADY OAK RD STE 250
EDEN PRAIRIE, MN 55344
(612) 483-9370

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164262408, enumerated in the NPI registry as an "organization" on May 24, 2024

The provider is located at 6385 Old Shady Oak Rd Ste 250 Eden Prairie, Mn 55344 and the phone number is (612) 404-9640

This medical organization specializes in Clinic/Center with taxonomy code 261QM0801X with a focus in Mental Health (Including Community Mental Health Center)

This NPI record was last updated on May 24, 2024. 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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