ANDERSON'S PINE GROVE
NPI 1255683660
Custodial Care Facility - Adult Care Home in Brookston, MN

NPI Status: Active since October 09, 2012

Contact Information

5130 HWY. 31
BROOKSTON, MN
ZIP 55711
Phone: (218) 453-5554
Fax: (218) 453-1014

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  • Organization
  • Custodial Care Facility
  • Adult Care Home

About ANDERSON'S PINE GROVE

This page provides the complete NPI Profile along with additional information for Anderson's Pine Grove, a provider established in Brookston, Minnesota operating as a Custodial Care Facility, focusing in adult care home . The healthcare provider is registered in the NPI registry with number 1255683660 assigned on October 2012. The practitioner's primary taxonomy code is 311ZA0620X. The provider is registered as an organization and their NPI record was last updated 13 years ago. The provider's is doing business as Anderson's Pine Grove. The authorized official of this NPI record is Christopher Michael Beauchamp (Owner/manager)

NPI
1255683660
Provider Legal Name
AJBB DULUTH PROPERTIES
Other Organization Name
ANDERSON'S PINE GROVE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
5130 HWY. 31 BROOKSTON, MN 55711
Location Phone
(218) 453-5554
Location Fax
(218) 453-1014
Mailing Address
633 MAPLE ST CLOQUET, MN 55720
Mailing Phone
(218) 453-5554
Mailing Fax
(218) 453-1014
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-09-2012
Last Update Date
10-09-2012
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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

Custodial Care Facility Adult Care Home

Taxonomy Code
311ZA0620X
Type
Nursing & Custodial Care Facilities
Taxonomy Description
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

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

CHRISTOPHER MICHAEL BEAUCHAMP

Authorized Official Title
OWNER/MANAGER
Authorized Official Phone
(218) 453-5554

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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.
1255683660
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
221051286612
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 0 + 5 + 1 + 2 + 8 + 6 + 6 + 1 + 2 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1255683660 is valid because the calculated check digit 0 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 1255683660, enumerated in the NPI registry as an "organization" on October 09, 2012

The provider is located at 5130 Hwy. 31 Brookston, Mn 55711 and the phone number is (218) 453-5554

This medical organization specializes in Custodial Care Facility with taxonomy code 311ZA0620X with a focus in Adult Care Home

This NPI record was last updated on October 09, 2012. 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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