PHS SHOREWOOD LLC
NPI 1316690670
Assisted Living Facility in Shorewood, MN
NPI Status: Active since January 27, 2022
Contact Information
6000 CHASKA RD
SHOREWOOD, MN
ZIP 55331
Phone: (952) 401-7444
Fax: (651) 631-6122
- Organization
- Assisted Living Facility
- CLIA Number: 24D2134702
- CLIA Cert. Type: Assisted Living Facility
- CLIA Exp. Date: 08-07-2025
About PHS SHOREWOOD LLC
This page provides the complete NPI Profile along with additional information for Phs Shorewood Llc, a provider established in Shorewood, Minnesota operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1316690670 assigned on January 2022. 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 Mark T Meyer (Cfo)
- NPI
- 1316690670
- Provider Name
- PHS SHOREWOOD LLC
- Entity Type
- Organization
- Location Address
- 6000 CHASKA RD SHOREWOOD, MN 55331
- Location Phone
- (952) 401-7444
- Location Fax
- (651) 631-6122
- Mailing Address
- 6000 CHASKA RD SHOREWOOD, MN 55331
- Mailing Phone
- (952) 401-7444
- Mailing Fax
- (651) 631-6122
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-27-2022
- Last Update Date
- 01-27-2022
- 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
- 24D2134702
- Facility Type
- Assisted Living Facility
- Certificate Effective Date
- August 08, 2023
- Certificate Expiration Date
- August 07, 2025
- Laboratory Director
- LIZ DAVIDSON
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Phs Shorewood 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 PHS SHOREWOOD 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 | 9 | 0 | 6 | 7 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 2 | 6 | 12 | 9 | 0 | 6 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 2 + 6 + 1 + 2 + 9 + 0 + 6 + 1 + 4 + 24 = 60 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1316690670 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 |
|---|---|---|---|
| 1104480714 | KTJ 212, LLC Organization | Assisted Living Facility | 6000 CHASKA RD EXCELSIOR, MN 55331 (952) 401-7444 |
| 1689363046 | OPTAGE INC Organization | Clinic/Center (Rehabilitation) | 6000 CHASKA RD SHOREWOOD, MN 55331 (651) 631-6570 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1316690670, enumerated in the NPI registry as an "organization" on January 27, 2022
The provider is located at 6000 Chaska Rd Shorewood, Mn 55331 and the phone number is (952) 401-7444
This medical organization specializes in Assisted Living Facility with taxonomy code 310400000X
The provider's CLIA number is 24D2134702 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 January 27, 2022. 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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