TRANQUIL LIVING
NPI 1689797102
Custodial Care Facility - Adult Care Home in Eden Prairie, MN

NPI Status: Active since April 09, 2007

Contact Information

6385 OLD SHADY OAK RD STE 250
EDEN PRAIRIE, MN
ZIP 55344
Phone: (952) 361-0080

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  • Organization
  • Custodial Care Facility
  • Adult Care Home
  • CLIA Number: 24D1089086
  • CLIA Cert. Type: Home Health Agency
  • CLIA Exp. Date: 09-09-2026

About TRANQUIL LIVING

This page provides the complete NPI Profile along with additional information for Tranquil Living, a provider established in Eden Prairie, Minnesota operating as a Custodial Care Facility, focusing in adult care home . The healthcare provider is registered in the NPI registry with number 1689797102 assigned on April 2007. The practitioner's primary taxonomy code is 311ZA0620X with license number 1039688-2-AFC (MN). The provider is registered as an organization and their NPI record was last updated 7 years ago. The provider's is doing business as Tranquil Living. The authorized official of this NPI record is Ms. Kimloan Sloss Rn, Phn (Director Of Nursing)

NPI
1689797102
Provider Legal Name
ACUTE HOME HEALTH CARE OF MN
Other Organization Name
TRANQUIL LIVING
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
6385 OLD SHADY OAK RD STE 250 EDEN PRAIRIE, MN 55344
Location Phone
(952) 361-0080
Mailing Address
6385 OLD SHADY OAK RD STE 250 EDEN PRAIRIE, MN 55344
Mailing Phone
(952) 361-0080
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-09-2007
Last Update Date
11-11-2018
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Location Map

Secondary Locations

  • 2521 Wilshire Blvd
    Mound, MN 55364
    (952) 361-0080
  • 1415 Ravoux Ln
    Chaska, MN 55318
    (952) 361-0080

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

Custodial Care Facility Adult Care Home

Taxonomy Code
311ZA0620X
Type
Nursing & Custodial Care Facilities
License No.
1039688-2-AFC
License State
MN
Taxonomy Description
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1251E00000XAgencies

Home Health

 
2311ZA0620XNursing & Custodial Care Facilities

Custodial Care Facility
Adult Care Home

1039690-2-AFC (MN)
3311ZA0620XNursing & Custodial Care Facilities

Custodial Care Facility
Adult Care Home

34050 (MN)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

MS. KIMLOAN SLOSS RN, PHN

Authorized Official Title
DIRECTOR OF NURSING
Authorized Official Phone
(952) 361-0080

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
242275100OTHER (01)MNMN-CODE 18 FOR HOME AND COMMUNITY BASED SERVICES
34050OTHER (01)MNMN- CODE 18 FOR HOME AND COMMUNITY BASED SERVICES
387817OTHER (01)MNCOMPREHENSIVE HOME CARE

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
24D1089086
Facility Type
Home Health Agency
Certificate Effective Date
September 10, 2024
Certificate Expiration Date
September 09, 2026
Laboratory Director
KIMLOAN T. NGUYEN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Tranquil 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.

Reviews for TRANQUIL LIVING

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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.
1689797102
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
261691491410
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 6 + 9 + 1 + 4 + 9 + 1 + 4 + 1 + 0 + 24 = 68
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 68 = 22

The NPI number 1689797102 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 18 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1467928259GESIVA MEDICAL, LLC
Organization
Durable Medical Equipment & Medical Supplies6385 OLD SHADY OAK RD STE 250
EDEN PRAIRIE, MN 55344
(866) 344-3748
1902378763 JOHN A GUNVALSON LPCC
Individual
Counselor (Mental Health)6385 OLD SHADY OAK RD STE 250
EDEN PRAIRIE, MN 55344
(952) 653-9500
1841650439HEALING & RESTORATION CONSULTING LLC
Organization
Clinic/Center (Mental Health (Including Community Mental Health Center))6385 OLD SHADY OAK RD STE 250
EDEN PRAIRIE, MN 55344
(612) 216-1114
1376162941TWIN CITIES RECOVERY CENTER LLC
Organization
Community/Behavioral Health6385 OLD SHADY OAK RD STE 250
EDEN PRAIRIE, MN 55344
(612) 226-0907
1174119200 ABDI ADAN ALI
Individual
Counselor (Mental Health)6385 OLD SHADY OAK RD STE 250
EDEN PRAIRIE, MN 55344
(612) 226-0907
1952992984NECESSARY NUTRITION LLC
Organization
Dietitian, Registered6385 OLD SHADY OAK RD STE 250
EDEN PRAIRIE, MN 55344
(608) 792-2585
1184319220OAK SUPPORT SERVICES LLC
Organization
Clinic/Center6385 OLD SHADY OAK RD STE 250
EDEN PRAIRIE, MN 55344
(210) 810-5858
1578248126247 HOUSING
Organization
Case Management6385 OLD SHADY OAK RD STE 250
EDEN PRAIRIE, MN 55344
(612) 741-5399
1255199345MR. SAID A MOALIMYUSUF
Individual
Contractor (Vehicle Modifications)6385 OLD SHADY OAK RD STE 250
EDEN PRAIRIE, MN 55344
(763) 807-8140
1164262408TRANQUILITY MINNESOTA
Organization
Clinic/Center (Mental Health (Including Community Mental Health Center))6385 OLD SHADY OAK RD STE 250
EDEN PRAIRIE, MN 55344
(612) 404-9640
1679329940WISEMIND BEHAVIORAL HEALTH, LLC
Organization
Counselor (Professional)6385 OLD SHADY OAK RD STE 250
EDEN PRAIRIE, MN 55344
(612) 440-1604
1902639891ROHMAN COUNSELING, LLC
Organization
Clinic/Center (Mental Health (Including Community Mental Health Center))6385 OLD SHADY OAK RD STE 250
EDEN PRAIRIE, MN 55344
(952) 491-0192
1215761101BEACON STARS, INC
Organization
Early Intervention Provider Agency6385 OLD SHADY OAK RD STE 250
EDEN PRAIRIE, MN 55344
(612) 483-9370
1538960265PILLARS BEHAVIORAL HEALTH
Organization
Clinic/Center6385 OLD SHADY OAK RD STE 250
EDEN PRAIRIE, MN 55344
(952) 540-7415
1558156364MINDFUL PATHWAY CENTER
Organization
Early Intervention Provider Agency6385 OLD SHADY OAK RD STE 250
EDEN PRAIRIE, MN 55344
(612) 600-2198
1588498448ABILITY AVENUES LLC
Organization
Early Intervention Provider Agency6385 OLD SHADY OAK RD STE 250
EDEN PRAIRIE, MN 55344
(952) 900-2344
1922890425ASPIRAKIDS
Organization
Early Intervention Provider Agency6385 OLD SHADY OAK RD STE 250
EDEN PRAIRIE, MN 55344
(612) 394-4012
1144082959BETTERHEALTH LLC
Organization
Home Health6385 OLD SHADY OAK RD STE 250
EDEN PRAIRIE, MN 55344
(609) 541-8731

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1689797102, enumerated in the NPI registry as an "organization" on April 09, 2007

The provider is located at 6385 Old Shady Oak Rd Ste 250 Eden Prairie, Mn 55344 and the phone number is (952) 361-0080

This medical organization specializes in Custodial Care Facility with taxonomy code 311ZA0620X with a focus in Adult Care Home

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 24D1089086 for a "home health agency" 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 April 09, 2007. 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.