THE COLONY AT EDEN PRAIRIE TCU
NPI 1699732420
Skilled Nursing Facility in Eden Prairie, MN

NPI Status: Active since April 26, 2006

Contact Information

429 PRAIRIE CENTER DR
EDEN PRAIRIE, MN
ZIP 55344
Phone: (952) 888-2923

Get Directions Reviews

  • Organization
  • Skilled Nursing Facility
  • CLIA Number: 24D1008923
  • CLIA Cert. Type: Assisted Living Facility
  • CLIA Exp. Date: 08-21-2025

About THE COLONY AT EDEN PRAIRIE TCU

This page provides the complete NPI Profile along with additional information for The Colony At Eden Prairie Tcu, a provider established in Eden Prairie, Minnesota operating as a Skilled Nursing Facility. The healthcare provider is registered in the NPI registry with number 1699732420 assigned on April 2006. The practitioner's primary taxonomy code is 314000000X with license number 328765 (MN). The provider is registered as an organization and their NPI record was last updated 11 years ago. The provider's is doing business as The Colony At Eden Prairie Tcu. The authorized official of this NPI record is Kyle Didier (President)

NPI
1699732420
Provider Legal Name
COLONY AT EDEN PRAIRIE, LLC
Other Organization Name
THE COLONY AT EDEN PRAIRIE TCU
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
429 PRAIRIE CENTER DR EDEN PRAIRIE, MN 55344
Location Phone
(952) 888-2923
Mailing Address
429 PRAIRIE CENTER DR EDEN PRAIRIE, MN 55344
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-26-2006
Last Update Date
08-08-2014
Code Navigator

Location Map

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
License No.
328765
License State
MN
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.

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.

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

KYLE DIDIER

Authorized Official Title
PRESIDENT
Authorized Official Phone
(952) 358-5100

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
24-5611OTHER (01)MNMEDICARE ID-TYPE UNSPECIFIED
7100424OTHER (01)MNMEDICA
577468300MEDICAID (05)MN 
OR97COOTHER (01)MNBCBS
245611OTHER (01)MEDICARE PROVIDER NUMBER

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
24D1008923
Facility Type
Assisted Living Facility
Certificate Effective Date
August 22, 2023
Certificate Expiration Date
August 21, 2025
Laboratory Director
LEAH YOUNG
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to The Colony At Eden Prairie Tcu 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 THE COLONY AT EDEN PRAIRIE TCU

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.
1699732420
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
26189143444
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 8 + 9 + 1 + 4 + 3 + 4 + 4 + 4 + 24 = 70
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1699732420 is valid because the calculated check digit 0 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
1508085002 MARY ELLEN HIMPLE PT
Individual
Physical Therapist429 PRAIRIE CENTER DR
EDEN PRAIRIE, MN 55344
(952) 828-9500

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1699732420, enumerated in the NPI registry as an "organization" on April 26, 2006

The provider is located at 429 Prairie Center Dr Eden Prairie, Mn 55344 and the phone number is (952) 888-2923

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

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

The provider's CLIA number is 24D1008923 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 April 26, 2006. 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.