SEED SENIOR LIVING
NPI 1528780061
Assisted Living Facility - Assisted Living, Mental Illness in Bloomington, MN

NPI Status: Active since September 12, 2022

Contact Information

5422 W OLD SHAKOPEE CIR
BLOOMINGTON, MN
ZIP 55437
Phone: (952) 395-2470
Fax: (952) 443-8604

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  • Organization
  • Assisted Living Facility
  • Assisted Living, Mental Illness
  • CLIA Number: 24D2286104
  • CLIA Cert. Type: Assisted Living Facility
  • CLIA Exp. Date: 07-23-2025

About SEED SENIOR LIVING

This page provides the complete NPI Profile along with additional information for Seed Senior Living, a provider established in Bloomington, Minnesota operating as a Assisted Living Facility, focusing in assisted living, mental illness . The healthcare provider is registered in the NPI registry with number 1528780061 assigned on September 2022. The practitioner's primary taxonomy code is 3104A0625X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Fartun Ahmed Roble (House Manager)

NPI
1528780061
Provider Name
SEED SENIOR LIVING
Entity Type
Organization
Location Address
5422 W OLD SHAKOPEE CIR BLOOMINGTON, MN 55437
Location Phone
(952) 395-2470
Location Fax
(952) 443-8604
Mailing Address
5422 W OLD SHAKOPEE CIR BLOOMINGTON, MN 55437
Mailing Phone
(952) 395-2470
Mailing Fax
(952) 443-8604
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-12-2022
Last Update Date
10-04-2022
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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 Assisted Living, Mental Illness

Taxonomy Code
3104A0625X
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 special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.

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

FARTUN AHMED ROBLE

Authorized Official Title
HOUSE MANAGER
Authorized Official Phone
(952) 395-2470

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
24D2286104
Facility Type
Assisted Living Facility
Certificate Effective Date
July 24, 2023
Certificate Expiration Date
July 23, 2025
Laboratory Director
ABDULAHI H. MOHAMED
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Seed Senior Living 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.
1528780061
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
25481480012
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 4 + 8 + 1 + 4 + 8 + 0 + 0 + 1 + 2 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 11

The NPI number 1528780061 is valid because the calculated check digit 1 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 1528780061, enumerated in the NPI registry as an "organization" on September 12, 2022

The provider is located at 5422 W Old Shakopee Cir Bloomington, Mn 55437 and the phone number is (952) 395-2470

This medical organization specializes in Assisted Living Facility with taxonomy code 3104A0625X with a focus in Assisted Living, Mental Illness

The provider's CLIA number is 24D2286104 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 September 12, 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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