ARBORS AT RIDGES
NPI 1265754980
Assisted Living Facility in Burnsville, MN

NPI Status: Active since February 22, 2010

Contact Information

13810 COMMUNITY DR
BURNSVILLE, MN
ZIP 55337
Phone: (952) 898-4005
Fax: (952) 435-6686

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  • Organization
  • Assisted Living Facility
  • CLIA Number: 24D2099390
  • CLIA Cert. Type: Assisted Living Facility
  • CLIA Exp. Date: 07-26-2025

About ARBORS AT RIDGES

This page provides the complete NPI Profile along with additional information for Arbors At Ridges, a provider established in Burnsville, Minnesota operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1265754980 assigned on February 2010. The practitioner's primary taxonomy code is 310400000X with license number 341422 (MN). The provider is registered as an organization and their NPI record was last updated 15 years ago. The provider's is doing business as Arbors At Ridges. The authorized official of this NPI record is Stephan Grygar (Cfo)

NPI
1265754980
Provider Legal Name
EBENEZER RIDGES ASSISTED LIVING
Other Organization Name
ARBORS AT RIDGES
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
13810 COMMUNITY DR BURNSVILLE, MN 55337
Location Phone
(952) 898-4005
Location Fax
(952) 435-6686
Mailing Address
13810 COMMUNITY DR BURNSVILLE, MN 55337
Mailing Phone
(952) 898-4005
Mailing Fax
(952) 435-6686
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
02-22-2010
Last Update Date
02-22-2010
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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

Assisted Living Facility

Taxonomy Code
310400000X
Type
Nursing & Custodial Care Facilities
License No.
341422
License State
MN
Taxonomy Description
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

STEPHAN GRYGAR

Authorized Official Title
CFO
Authorized Official Phone
(612) 874-3477

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
=========MEDICAID (05)MN 

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
24D2099390
Facility Type
Assisted Living Facility
Certificate Effective Date
July 27, 2023
Certificate Expiration Date
July 26, 2025
Laboratory Director
JUSTIN NOLL
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Arbors At Ridges 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.

Reviews for ARBORS AT RIDGES

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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.
1265754980
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
221251458916
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 2 + 5 + 1 + 4 + 5 + 8 + 9 + 1 + 6 + 24 = 70
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1265754980 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1184039265EBENEZER SOCIETY, LLC
Organization
Home Health13810 COMMUNITY DR
BURNSVILLE, MN 55337
(952) 898-3288
1699819276EBENEZER RIDGES ADULT DAY CENTER
Organization
Clinic/Center (Adult Day Care)13810 COMMUNITY DR
BURNSVILLE, MN 55337
(952) 898-3085

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1265754980, enumerated in the NPI registry as an "organization" on February 22, 2010

The provider is located at 13810 Community Dr Burnsville, Mn 55337 and the phone number is (952) 898-4005

This medical organization specializes in Assisted Living Facility with taxonomy code 310400000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 24D2099390 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 February 22, 2010. 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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