ANGELS ON MAIN
NPI 1730730508
Clinic/Center - Adult Day Care in Otsego, MN
NPI Status: Active since September 24, 2019
Contact Information
9200 QUANTRELLE AVE NE
OTSEGO, MN
ZIP 55330
Phone: (763) 746-3400
Fax: (763) 635-5480
- Organization
- Clinic/Center
- Adult Day Care
- CLIA Number: 24D0400165
- CLIA Cert. Type: Skilled Nursing Facility/Nursing Facility
- CLIA Exp. Date: 08-31-2026
About ANGELS ON MAIN
This page provides the complete NPI Profile along with additional information for Angels On Main, a provider established in Otsego, Minnesota operating as a Clinic/center, focusing in adult day care . The healthcare provider is registered in the NPI registry with number 1730730508 assigned on September 2019. The practitioner's primary taxonomy code is 261QA0600X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's is doing business as Angels On Main. The authorized official of this NPI record is Daniel James Fair Do (Administrator)
- NPI
- 1730730508
- Provider Legal Name
- GUARDIAN ANGELS HEALTH SERVICES, INC.
- Other Organization Name
- ANGELS ON MAIN
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 9200 QUANTRELLE AVE NE OTSEGO, MN 55330
- Location Phone
- (763) 746-3400
- Location Fax
- (763) 635-5480
- Mailing Address
- 508 FREEPORT AVE NW STE A ELK RIVER, MN 55330
- Mailing Phone
- (763) 635-4483
- Mailing Fax
- (763) 635-5480
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 09-24-2019
- Last Update Date
- 09-24-2019
- 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
Clinic/Center Adult Day Care
- Taxonomy Code
- 261QA0600X
- Type
- Ambulatory Health Care Facilities
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.
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 |
|---|---|---|---|
| M112023900 | OTHER (01) | MN | MN DEPARTMENT OF HUMAN SERVICES |
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
- 24D0400165
- Facility Type
- Skilled Nursing Facility/Nursing Facility
- Certificate Effective Date
- September 01, 2024
- Certificate Expiration Date
- August 31, 2026
- Laboratory Director
- ANGIE M. VELANDER
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Angels On Main 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 ANGELS ON MAIN
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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. | |||||||||
| 1 | 7 | 3 | 0 | 7 | 3 | 0 | 5 | 0 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 6 | 0 | 14 | 3 | 0 | 5 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 6 + 0 + 1 + 4 + 3 + 0 + 5 + 0 + 24 = 52 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 52 = 8 | 8 | ||||||||
The NPI number 1730730508 is valid because the calculated check digit 8 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 |
|---|---|---|---|
| 1932722584 | EVANS PARK, INC Organization | Assisted Living Facility | 9200 QUANTRELLE AVE NE OTSEGO, MN 55330 (763) 746-3400 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1730730508, enumerated in the NPI registry as an "organization" on September 24, 2019
The provider is located at 9200 Quantrelle Ave Ne Otsego, Mn 55330 and the phone number is (763) 746-3400
This medical organization specializes in Clinic/Center with taxonomy code 261QA0600X with a focus in Adult Day Care
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 24D0400165 for a "skilled nursing facility/nursing 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 24, 2019. 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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