OUR LADY OF PEACE HOME
NPI 1710352869
Hospice, Inpatient in Saint Paul, MN

NPI Status: Active since December 01, 2015

Contact Information

2076 SAINT ANTHONY AVE
SAINT PAUL, MN
ZIP 55104
Phone: (651) 789-5031

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  • Organization
  • Hospice, Inpatient

About OUR LADY OF PEACE HOME

This page provides the complete NPI Profile along with additional information for Our Lady Of Peace Home, a provider established in Saint Paul, Minnesota operating as a Hospice, Inpatient. The healthcare provider is registered in the NPI registry with number 1710352869 assigned on December 2015. The practitioner's primary taxonomy code is 315D00000X with license number 375345 (MN). The provider is registered as an organization and their NPI record was last updated 10 years ago. The provider's is doing business as Our Lady Of Peace Home. The authorized official of this NPI record is Joseph Stanislav (Ceo)

NPI
1710352869
Provider Legal Name
OUR LADY OF PEACE
Other Organization Name
OUR LADY OF PEACE HOME
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2076 SAINT ANTHONY AVE SAINT PAUL, MN 55104
Location Phone
(651) 789-5031
Mailing Address
2076 SAINT ANTHONY AVE SAINT PAUL, MN 55104
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-01-2015
Last Update Date
12-01-2015
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According to the Hospice Quality Reporting Program (HQRP) data this facility is non-profit and was certified on 09-25-2001 This facility was recently evaluated on the following quality measures: average daily census, hospice served at least 1 patient with both medicare and medicaid coverage during one year, hospice served at least 1 patient enrolled in medicare advantage during one year, care provided in assisted living facility and care provided in home, etc.

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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

Hospice, Inpatient

Taxonomy Code
315D00000X
Type
Nursing & Custodial Care Facilities
License No.
375345
License State
MN
Taxonomy Description
A provider organization, or distinct part of the organization, which renders an interdisciplinary program providing palliative care, chiefly medical relief of pain and supporting services, which addresses the emotional, social, financial, and legal needs of terminally ill patients and their families where an institutional care environment is required for the patient.

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

JOSEPH STANISLAV

Authorized Official Title
CEO
Authorized Official Phone
(651) 789-5031

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
241573MEDICARE OSCAR/CERTIFICATION (06)MN 

Hospice Care Information

The Centers for Medicare and Medicaid Services Hospice Quality Reporting Program (HQRP) data provides information on the quality of care that hospice facilities are providing to their patients. The quality reporting data gives families and patients the information they need to decide which hospice is right for them.

CMS Certification Number (CCN)241573
Ownership TypeNon-Profit
Medicare Certification Date09-25-2001
Quality Measure Measure Score
Average Daily Census
Number of patients cared for by a hospice on average each day
54.0
Hospice served at least 1 patient with both Medicare and Medicaid coverage during one year
1= Hospice served at least 1 patient with both Medicaid and Medicare coverage OR 0 = Hospice did not serve any patients with both Medicaid and Medicare coverage
Yes
Hospice served at least 1 patient enrolled in Medicare Advantage during one year
1 = Hospice served at least one patient enrolled in Medicare Advantage OR 0 = Hospice did not serve any patients enrolled in Medicare Advantage
Yes
Care Provided in Assisted Living Facility
Percentage of days patients received care in an assisted living facility
49
Care Provided in Home
Percentage of days patients received care in home
23
Care Provided in Inpatient Hospice Facility
Percentage of days patients received care in an inpatient hospice
7
Care Provided in Inpatient Hospital Facility
Percentage of days patients received care in an inpatient hospital
0 - Value is based on one year of data and does not indicate that the hospice would have 0% in more recent years.
Care Provided in Nursing Facility
Percentage of days patients received care in a nursing facility
0 - Value is based on one year of data and does not indicate that the hospice would have 0% in more recent years.
Care Provided in All other locations
Percentage of days patients received care in other locations
12
Care Provided in Skilled Nursing Facility
Percentage of days patients received care in a skilled nursing facility
9
Hospice and Palliative Care Treatment Preferences
Facility observed rate
99.8
Beliefs & Values Addressed (if desired by the patient)
Facility observed rate
99.8
Hospice and Palliative Care Pain Screening
Facility observed rate
99.4
Hospice and Palliative Care Pain Assessment
Facility observed rate
94.5
Hospice and Palliative Care Dyspnea Screening
Facility observed rate
99.8
Hospice and Palliative Care Dyspnea Treatment
Facility observed rate
94.3
Patient Treated with an Opioid Who Are Given a Bowel Regimen
Facility observed rate
100.0
Hospice and Palliative Care Composite Process Measure
Facility observed rate
93.9
Hospice Visits in the Last Days of Life
479
Hospice Visits in the Last Days of Life
Facility observed rate
9.6
Hospice Care Index Overall Score
Facility observed rate
7.0
CHC/GIP provided (% days)
52,969
CHC/GIP provided (% days)
Facility observed rate
3.3
CHC/GIP provided (% days)
96
Gaps in nursing visits (% elections)
359
Gaps in nursing visits (% elections)
Facility observed rate
96.9
Gaps in nursing visits (% elections)
99
Early live discharges (% live discharges)
65
Early live discharges (% live discharges)
Facility observed rate
4.6
Early live discharges (% live discharges)
39
Late live discharges (% live discharges)
65
Late live discharges (% live discharges)
Facility observed rate
49.2
Late live discharges (% live discharges)
75
Burdensome transitions, Type 1(% live discharges)
65
Burdensome transitions, Type 1 (% live discharges)
Facility observed rate
16.9
Burdensome transitions, Type 1 (% live discharges)
89
Burdensome transitions, Type 2(% live discharges)
65
Burdensome transitions, Type 2 (% live discharges)
Facility observed rate
3.1
Burdensome transitions, Type 2 (% live discharges)
76
Per-beneficiary spending (U.S. dollars $)
965
Per-beneficiary spending (U.S. dollars $)
Facility observed rate
12,627
Per-beneficiary spending (U.S. dollars $)
26
Nurse care minutes per routine home care days (minutes)
50,513
Nurse care minutes per routine home care days (minutes)
Facility observed rate
2.1
Nurse care minutes per routine home care days (minutes)
1
Skilled nursing minutes on weekends (% minutes)
105,315
Skilled nursing minutes on weekends (% minutes)
Facility observed rate
32.4
Skilled nursing minutes on weekends (% minutes)
100
Visits near death (% decedents)
843
Visits near death (% decedents)
Facility observed rate
64.9
Visits near death (% decedents)
6
Percent of Patients with Cancer
Percentage of patients at hospice who had Cancer as their primary diagnosis
45
Percent of Patients with Circulatory/heart disease
Percentage of patients at hospice who had Circulatory Heart Disease as their primary diagnosis
12
Percent of Patients with Dementia
Percentage of patients at hospice who had Dementia as their primary diagnosis
13
Percent of Patients with Other Conditions
Percentage of patients at hospice who had some other conditions as their primary diagnosis
3
Percent of Patients with Respiratory disease
Percentage of patients at hospice who had Respiratory Disease as their primary diagnosis
2
Percent of Patients with Stroke
Percentage of patients at hospice who had Stroke as their primary diagnosis
6
Provided Routine Home Care and other levels of care
Th hospice had at least one incidence of routine home care and at least one more incidence of care at another level. Blank: hospice only provided care at routine home care level
Yes
Provided Routine Home Care only
The hospice had at least one incidence of RHC over the 3 years, and no incidences of care at any other level. Blank: the hospice had at least one incidence of care at another level
No

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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.
1710352869
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2720654812
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 2 + 0 + 6 + 5 + 4 + 8 + 1 + 2 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1710352869 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 7 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1689600751DR. NANCY JEAN BAKER M.D.
Individual
Family Medicine2076 SAINT ANTHONY AVE
SAINT PAUL, MN 55104
(651) 789-5031
1366989139OUR LADY OF PEACE
Organization
In Home Supportive Care2076 SAINT ANTHONY AVE
SAINT PAUL, MN 55104
(651) 696-8425
1710074232 MICHAEL E PINCHBACK M.D.
Individual
Family Medicine (Hospice and Palliative Medicine)2076 SAINT ANTHONY AVE
SAINT PAUL, MN 55104
(651) 789-5031
1326793217 AARON DRAKE
Individual
Pharmacist2076 SAINT ANTHONY AVE
SAINT PAUL, MN 55104
(651) 789-5028
1750095766OUR LADY OF PEACE
Organization
Pharmacy (Community/Retail Pharmacy)2076 SAINT ANTHONY AVE
SAINT PAUL, MN 55104
(651) 789-5031
1255115473 IRENE ENJEMA EKOBENA
Individual
Nurse Practitioner (Gerontology)2076 SAINT ANTHONY AVE
SAINT PAUL, MN 55104
(651) 789-5031
1629857222OUR LADY OF PEACE
Organization
Internal Medicine (Hospice and Palliative Medicine)2076 SAINT ANTHONY AVE
SAINT PAUL, MN 55104
(651) 789-5031

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1710352869, enumerated in the NPI registry as an "organization" on December 01, 2015

The provider is located at 2076 Saint Anthony Ave Saint Paul, Mn 55104 and the phone number is (651) 789-5031

This medical organization specializes in Hospice, Inpatient with taxonomy code 315D00000X

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.

This NPI record was last updated on December 01, 2015. 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.