EPICENTERPHD INC
NPI 1255862280
In Home Supportive Care in Pine City, MN

NPI Status: Active since March 22, 2017

Contact Information

8899 DEER VALLEY RD
PINE CITY, MN
ZIP 55063
Phone: (612) 203-2473
Fax: (612) 460-9804

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  • Organization
  • In Home Supportive Care

About EPICENTERPHD INC

This page provides the complete NPI Profile along with additional information for Epicenterphd Inc, a provider established in Pine City, Minnesota operating as a In Home Supportive Care. The healthcare provider is registered in the NPI registry with number 1255862280 assigned on March 2017. The practitioner's primary taxonomy code is 253Z00000X with license number 380825 (MN). The provider is registered as an organization and their NPI record was last updated 9 years ago. Epicenterphd Inc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Mr. Thomas Walter Martini (Ceo)

NPI
1255862280
Provider Name
EPICENTERPHD INC
Entity Type
Organization
Location Address
8899 DEER VALLEY RD PINE CITY, MN 55063
Location Phone
(612) 203-2473
Location Fax
(612) 460-9804
Mailing Address
8899 DEER VALLEY RD PINE CITY, MN 55063
Mailing Phone
(612) 203-2473
Mailing Fax
(612) 460-9804
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-22-2017
Last Update Date
03-22-2017
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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

In Home Supportive Care

Taxonomy Code
253Z00000X
Type
Agencies
License No.
380825
License State
MN
Taxonomy Description
An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1225XH1300XRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Occupational Therapist
Human Factors

380825 (MN)
2302R00000XManaged Care Organizations

Health Maintenance Organization

380825 (MN)
3332B00000XSuppliers

Durable Medical Equipment & Medical Supplies

380825 (MN)

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

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. THOMAS WALTER MARTINI

Authorized Official Title
CEO
Authorized Official Phone
(612) 203-2473

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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.
1255862280
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
221051664216
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 0 + 5 + 1 + 6 + 6 + 4 + 2 + 1 + 6 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1255862280 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 1255862280, enumerated in the NPI registry as an "organization" on March 22, 2017

The provider is located at 8899 Deer Valley Rd Pine City, Mn 55063 and the phone number is (612) 203-2473

This medical organization specializes in In Home Supportive Care with taxonomy code 253Z00000X

This NPI record was last updated on March 22, 2017. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.