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

Get Directions Reviews

  • 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.

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

ROMANDA M GAYE REGISTERED NURSE

Authorized Official Title
OWNER
Authorized Official Phone
(763) 744-6192

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.

Reviews for MANDA'S HOUSE ST. CLOUD

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

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.
1497265995
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
241874610918
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 = 55

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].
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.