LIGHTHOUSE RESIDENTIAL SERVICES LLC
NPI 1538763982
Skilled Nursing Facility in St Louis Park, MN

NPI Status: Active since November 25, 2020

Contact Information

7623 W 14TH ST
ST LOUIS PARK, MN
ZIP 55426
Phone: (612) 346-6053

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  • Organization
  • Skilled Nursing Facility

About LIGHTHOUSE RESIDENTIAL SERVICES LLC

This page provides the complete NPI Profile along with additional information for Lighthouse Residential Services Llc, a provider established in St Louis Park, Minnesota operating as a Skilled Nursing Facility. The healthcare provider is registered in the NPI registry with number 1538763982 assigned on November 2020. The practitioner's primary taxonomy code is 314000000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Abdirahman Mohamed Dahir (Owner)

NPI
1538763982
Provider Name
LIGHTHOUSE RESIDENTIAL SERVICES LLC
Entity Type
Organization
Location Address
7623 W 14TH ST ST LOUIS PARK, MN 55426
Location Phone
(612) 346-6053
Mailing Address
7623 W 14TH ST ST LOUIS PARK, MN 55426
Mailing Phone
(612) 346-6053
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-25-2020
Last Update Date
11-25-2020
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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

Skilled Nursing Facility

Taxonomy Code
314000000X
Type
Nursing & Custodial Care Facilities
Taxonomy Description
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

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

ABDIRAHMAN MOHAMED DAHIR

Authorized Official Title
OWNER
Authorized Official Phone
(612) 876-0146

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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.
1538763982
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
25681466916
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 6 + 8 + 1 + 4 + 6 + 6 + 9 + 1 + 6 + 24 = 78
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 78 = 22

The NPI number 1538763982 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1851018105WESTWOOD HEALTH SERVICES LLC
Organization
Home Health7623 W 14TH ST
ST LOUIS PARK, MN 55426
(216) 255-1420

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1538763982, enumerated in the NPI registry as an "organization" on November 25, 2020

The provider is located at 7623 W 14th St St Louis Park, Mn 55426 and the phone number is (612) 346-6053

This medical organization specializes in Skilled Nursing Facility with taxonomy code 314000000X

This NPI record was last updated on November 25, 2020. 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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