BAYSIDE MANOR ASSISTED LIVING LLC
NPI 1316606528
Assisted Living Facility in Gaylord, MN
NPI Status: Active since December 15, 2021
- Organization
- Assisted Living Facility
- CLIA Number: 24D0665028
- CLIA Cert. Type: Skilled Nursing Facility/Nursing Facility
- CLIA Exp. Date: 05-14-2027
About BAYSIDE MANOR ASSISTED LIVING LLC
This page provides the complete NPI Profile along with additional information for Bayside Manor Assisted Living Llc, a provider established in Gaylord, Minnesota operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1316606528 assigned on December 2021. The practitioner's primary taxonomy code is 310400000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Joshua Legum (President)
- NPI
- 1316606528
- Provider Name
- BAYSIDE MANOR ASSISTED LIVING LLC
- Entity Type
- Organization
- Location Address
- 640 3RD ST GAYLORD, MN 55334
- Location Phone
- (507) 237-2911
- Mailing Address
- 2361 NOSTRAND AVE STE 903 BROOKLYN, NY 11210
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-15-2021
- Last Update Date
- 12-15-2021
- Code Navigator
Location Map
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
- 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.
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
- 24D0665028
- Facility Type
- Skilled Nursing Facility/Nursing Facility
- Certificate Effective Date
- May 15, 2025
- Certificate Expiration Date
- May 14, 2027
- Laboratory Director
- KELLY MURPHY
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Bayside Manor Assisted Living Llc 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 BAYSIDE MANOR ASSISTED LIVING LLC
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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. | |||||||||
| 1 | 3 | 1 | 6 | 6 | 0 | 6 | 5 | 2 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 2 | 6 | 12 | 0 | 12 | 5 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 2 + 6 + 1 + 2 + 0 + 1 + 2 + 5 + 4 + 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 = 8 | 8 | ||||||||
The NPI number 1316606528 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 17 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1750388336 | GAYLORD LAKEVIEW HOME Organization | Skilled Nursing Facility | 640 3RD ST GAYLORD, MN 55334 (507) 237-2911 |
| 1053553875 | NICOLE MARIE YOUNG PT Individual | Physical Therapist | 640 3RD ST GAYLORD, MN 55334 (507) 237-2911 |
| 1760624597 | SARAH ANN SCHWARTZ MA OTR/L Individual | Occupational Therapist | 640 3RD ST GAYLORD, MN 55334 (507) 237-2911 |
| 1720322381 | RENEE LYNN KLEINDL COTA/L Individual | Occupational Therapy Assistant | 640 3RD ST GAYLORD, MN 55334 (507) 237-8730 |
| 1881938397 | JACKIE DIETZ Individual | Speech-Language Pathologist | 640 3RD ST GAYLORD, MN 55334 (507) 237-8730 |
| 1326382805 | JOSH DANIEL GAVIN PTA Individual | Physical Therapy Assistant | 640 3RD ST GAYLORD, MN 55334 (507) 237-8730 |
| 1639503980 | MRS. ASHLEY MARIA ENGLES M.S. CF-SLP Individual | Speech-Language Pathologist | 640 3RD ST GAYLORD, MN 55334 (507) 237-5744 |
| 1598180366 | JAIME PETERSEN OTR/L Individual | Occupational Therapist | 640 3RD ST GAYLORD, MN 55334 (507) 237-8730 |
| 1285820092 | OAK TERRACE HEALTH CARE CENTER OF GAYLORD ,LLC Organization | Skilled Nursing Facility | 640 3RD ST GAYLORD, MN 55334 (507) 237-2911 |
| 1902340193 | GERI LOOSE Individual | Physical Therapy Assistant | 640 3RD ST GAYLORD, MN 55334 (507) 237-8730 |
| 1700308145 | ANGELA ROSE HOFF MA OTR/L Individual | Occupational Therapist | 640 3RD ST GAYLORD, MN 55334 (507) 237-8730 |
| 1417470048 | TERESA ANN BURMIS Individual | Physical Therapy Assistant | 640 3RD ST GAYLORD, MN 55334 (507) 237-2911 |
| 1033670435 | ANILA SHARMA DR. Individual | Physical Therapist | 640 3RD ST GAYLORD, MN 55334 (507) 237-2911 |
| 1356972236 | JENNA M KRAUTKREMER PTA Individual | Physical Therapy Assistant | 640 3RD ST GAYLORD, MN 55334 (507) 237-2911 |
| 1821667239 | KLARA KOCH OTR Individual | Occupational Therapist | 640 3RD ST GAYLORD, MN 55334 (507) 237-2911 |
| 1710646641 | BAYSIDE MANOR LLC Organization | Skilled Nursing Facility | 640 3RD ST GAYLORD, MN 55334 (507) 237-2911 |
| 1750625265 | STACI BRANDT DPT Individual | Physical Therapist | 640 3RD ST GAYLORD, MN 55334 (507) 237-8730 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1316606528, enumerated in the NPI registry as an "organization" on December 15, 2021
The provider is located at 640 3rd St Gaylord, Mn 55334 and the phone number is (507) 237-2911
This medical organization specializes in Assisted Living Facility with taxonomy code 310400000X
The provider's CLIA number is 24D0665028 for a "skilled nursing facility/nursing 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 December 15, 2021. 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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