OUTREACH SIX ACRES INC
NPI 1750441713
Intermediate Care Facility, Intellectual Disabilities in Minneapolis, MN

NPI Status: Active since December 11, 2006

Contact Information

1555 118TH LN NW
MINNEAPOLIS, MN
ZIP 55448
Phone: (763) 754-2505
Fax: (763) 754-0332

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About OUTREACH SIX ACRES INC

This page provides the complete NPI Profile along with additional information for Outreach Six Acres Inc, a provider established in Minneapolis, Minnesota operating as a Intermediate Care Facility, Intellectual Disabilities. The healthcare provider is registered in the NPI registry with number 1750441713 assigned on December 2006. The practitioner's primary taxonomy code is 315P00000X with license number 801854 (MN). 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 Connie Winbauer (Controller)

NPI
1750441713
Provider Name
OUTREACH SIX ACRES INC
Entity Type
Organization
Location Address
1555 118TH LN NW MINNEAPOLIS, MN 55448
Location Phone
(763) 754-2505
Location Fax
(763) 754-0332
Mailing Address
1555 118TH LN NW MINNEAPOLIS, MN 55448
Mailing Phone
(763) 754-2505
Mailing Fax
(763) 754-0332
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-11-2006
Last Update Date
08-22-2020
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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

Intermediate Care Facility, Intellectual Disabilities

Taxonomy Code
315P00000X
Type
Nursing & Custodial Care Facilities
License No.
801854
License State
MN
Taxonomy Description
An intermediate care facility providing services for individuals with intellectual disabilities.

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)
1315P00000XNursing & Custodial Care Facilities

Intermediate Care Facility, Intellectual Disabilities

801850 (MN)
2315P00000XNursing & Custodial Care Facilities

Intermediate Care Facility, Intellectual Disabilities

801851 (MN)
3315P00000XNursing & Custodial Care Facilities

Intermediate Care Facility, Intellectual Disabilities

801852 (MN)
4315P00000XNursing & Custodial Care Facilities

Intermediate Care Facility, Intellectual Disabilities

801853 (MN)
5315P00000XNursing & Custodial Care Facilities

Intermediate Care Facility, Intellectual Disabilities

1001534 (MN)
6315P00000XNursing & Custodial Care Facilities

Intermediate Care Facility, Intellectual Disabilities

803912 (MN)

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

CONNIE WINBAUER

Authorized Official Title
CONTROLLER
Authorized Official Phone
(763) 862-5436

Reviews for OUTREACH SIX ACRES INC

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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.
1750441713
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2710084272
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 0 + 0 + 8 + 4 + 2 + 7 + 2 + 24 = 57
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 57 = 33

The NPI number 1750441713 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1770643694MARY T ASSOCIATES INC
Organization
Home Health1555 118TH LN NW
COON RAPIDS, MN 55448
(763) 862-5436
1629214515MARY T HOSPICE
Organization
Hospice Care, Community Based1555 118TH LN NW
COON RAPIDS, MN 55448
(763) 754-2505
1710262399MARGARET PLACE LIMITED PARTNERSHIP
Organization
Assisted Living Facility1555 118TH LN NW
COON RAPIDS, MN 55448
(763) 754-2505
1447390570CAMILIA ROSE GROUP HOME
Organization
Intermediate Care Facility, Intellectual Disabilities1555 118TH LN NW
COON RAPIDS, MN 55448
(763) 862-5436

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750441713, enumerated in the NPI registry as an "organization" on December 11, 2006

The provider is located at 1555 118th Ln Nw Minneapolis, Mn 55448 and the phone number is (763) 754-2505

This medical organization specializes in Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X

This NPI record was last updated on December 11, 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].
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