MANDA'S HOUSE ST. CLOUD
NPI 1497265995
Registered Nurse - Administrator in St. Cloud, MN
NPI Status: Active since October 10, 2017
Contact Information
2607 15TH AVE SE
ST. CLOUD, MN
ZIP 56304
Phone: (763) 744-6192
Fax: (320) 251-1486
- Organization
- Registered Nurse
- Administrator
- CLIA Number: 24D2150175
- CLIA Cert. Type: Assisted Living Facility
- CLIA Exp. Date: 06-18-2026
About MANDA'S HOUSE ST. CLOUD
This page provides the complete NPI Profile along with additional information for Manda's House St. Cloud, a provider established in St. Cloud, Minnesota operating as a Registered Nurse, focusing in administrator . The healthcare provider is registered in the NPI registry with number 1497265995 assigned on October 2017. The practitioner's primary taxonomy code is 163WA2000X with license number 1813283 (MN). The provider is registered as an organization and their NPI record was last updated 3 years ago. Manda's House St. Cloud operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Manda's House St. Cloud. The authorized official of this NPI record is Romanda M Gaye Registered Nurse (Owner)
- NPI
- 1497265995
- Provider Legal Name
- MY LEGAL NURSE CONSULTANTS LLC
- Other Organization Name
- MANDA'S HOUSE ST. CLOUD
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 2607 15TH AVE SE ST. CLOUD, MN 56304
- Location Phone
- (763) 744-6192
- Location Fax
- (320) 251-1486
- Mailing Address
- 10608 ARROWHEAD ST NW COON RAPIDS, MN 55433
- Mailing Phone
- (763) 744-6192
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-10-2017
- Last Update Date
- 07-06-2022
- Code Navigator
A registered nurse (RN) like Manda's House St. Cloud coordinates and provides patient care and educates patients about various health conditions. Registered nurses give advice and emotional support to patients and their families. The typical duties of a registered nurse include: assessing patient conditions, record medical histories and symptoms, observe patients and record the observations, administer medicines and treatments, consult and collaborate with doctors, operate and monitor medical equipment, teach patients and families how to manage injuries or illnesses, etc.
Registered nurses typically work as part of a team with physicians and other healthcare professionals. In some medical teams registered nurses supervise nursing assistants, licensed practical nurses, and home health aides.
Location Map
Secondary Locations
- 2012 7th Ave S
St. Cloud, MN 56301
(763) 744-6192 - 10608 Arrowhead St NW
Coon Rapids, MN 55433
(763) 744-6192
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
Registered Nurse Administrator
- Taxonomy Code
- 163WA2000X
- Type
- Nursing Service Providers
- License No.
- 1813283
- License State
- 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.
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
- 24D2150175
- Facility Type
- Assisted Living Facility
- Certificate Effective Date
- June 19, 2024
- Certificate Expiration Date
- June 18, 2026
- Laboratory Director
- ROMANDA GAYE
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Manda's House St. Cloud 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.
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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 | 4 | 9 | 7 | 2 | 6 | 5 | 9 | 9 | 5 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 4 | 18 | 7 | 4 | 6 | 10 | 9 | 18 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 4 + 1 + 8 + 7 + 4 + 6 + 1 + 0 + 9 + 1 + 8 + 24 = 75 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
80 - 75 = 5 | 5 |
The NPI number 1497265995 is valid because the calculated check digit 5 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 1497265995, enumerated in the NPI registry as an "organization" on October 10, 2017
The provider is located at 2607 15th Ave Se St. Cloud, Mn 56304 and the phone number is (763) 744-6192
This medical organization specializes in Registered Nurse with taxonomy code 163WA2000X with a focus in Administrator
The provider's CLIA number is 24D2150175 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 October 10, 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].
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