2750 NORTH VICTORIA STREET OPCO LLC
NPI 1255220612
Skilled Nursing Facility in Roseville, MN

NPI Status: Active since July 01, 2025

Contact Information

2750 VICTORIA ST N
ROSEVILLE, MN
ZIP 55113
Phone: (651) 482-1611
Fax: (612) 360-2331

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  • Organization
  • Skilled Nursing Facility

About 2750 NORTH VICTORIA STREET OPCO LLC

This page provides the complete NPI Profile along with additional information for 2750 North Victoria Street Opco Llc, a provider established in Roseville, Minnesota operating as a Skilled Nursing Facility. The healthcare provider is registered in the NPI registry with number 1255220612 assigned on July 2025. The practitioner's primary taxonomy code is 314000000X. The provider is registered as an organization and their NPI record was last updated July 2025. The authorized official of this NPI record is Kate Ryg (Clinical Reimbursement Manager)

NPI
1255220612
Provider Name
2750 NORTH VICTORIA STREET OPCO LLC
Entity Type
Organization
Location Address
2750 VICTORIA ST N ROSEVILLE, MN 55113
Location Phone
(651) 482-1611
Location Fax
(612) 360-2331
Mailing Address
5900 CLEARWATER DR STE 500 MINNETONKA, MN 55343
Mailing Phone
(763) 486-9187
Mailing Fax
(612) 360-2331
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
07-01-2025
Last Update Date
07-01-2025
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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

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.

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

KATE RYG

Authorized Official Title
CLINICAL REIMBURSEMENT MANAGER
Authorized Official Phone
(763) 486-9187

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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.
1255220612
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2210542062
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 0 + 5 + 4 + 2 + 0 + 6 + 2 + 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 1255220612 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
1861878720ROSEVILLE OPS LLC
Organization
Assisted Living Facility2750 VICTORIA ST N
ROSEVILLE, MN 55113
(651) 482-1611

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1255220612, enumerated in the NPI registry as an "organization" on July 01, 2025

The provider is located at 2750 Victoria St N Roseville, Mn 55113 and the phone number is (651) 482-1611

This medical organization specializes in Skilled Nursing Facility with taxonomy code 314000000X

This NPI record was last updated on July 01, 2025. 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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