PRAIRIE BLUFFS TCU, LLC
NPI 1770193872
Skilled Nursing Facility in Eden Prairie, MN
NPI Status: Active since August 04, 2020
Contact Information
10300 HENNEPIN TOWN RD
EDEN PRAIRIE, MN
ZIP 55347
Phone: (952) 444-5000
Fax: (952) 204-3024
- Organization
- Skilled Nursing Facility
- CLIA Number: 24D2179421
- CLIA Cert. Type: Assisted Living Facility
- CLIA Exp. Date: 02-23-2026
About PRAIRIE BLUFFS TCU, LLC
This page provides the complete NPI Profile along with additional information for Prairie Bluffs Tcu, Llc, a provider established in Eden Prairie, Minnesota operating as a Skilled Nursing Facility. The healthcare provider is registered in the NPI registry with number 1770193872 assigned on August 2020. The practitioner's primary taxonomy code is 314000000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Chris Krebsbach Lnha (Coo)
- NPI
- 1770193872
- Provider Name
- PRAIRIE BLUFFS TCU, LLC
- Entity Type
- Organization
- Location Address
- 10300 HENNEPIN TOWN RD EDEN PRAIRIE, MN 55347
- Location Phone
- (952) 444-5000
- Location Fax
- (952) 204-3024
- Mailing Address
- 10300 HENNEPIN TOWN ROAD EDEN PRAIRIE, MN 55347
- Mailing Phone
- (952) 444-5000
- Mailing Fax
- (952) 204-3024
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-04-2020
- Last Update Date
- 11-04-2022
- 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
- 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.
*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 |
|---|---|---|---|
| 409168 | MEDICAID (05) | MN |
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
- 24D2179421
- Facility Type
- Assisted Living Facility
- Certificate Effective Date
- February 24, 2024
- Certificate Expiration Date
- February 23, 2026
- Laboratory Director
- STEPHANIE FREDERICK
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Prairie Bluffs Tcu, Llc 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 PRAIRIE BLUFFS TCU, LLC
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. | |||||||||
| 1 | 7 | 7 | 0 | 1 | 9 | 3 | 8 | 7 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 14 | 0 | 2 | 9 | 6 | 8 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 4 + 0 + 2 + 9 + 6 + 8 + 1 + 4 + 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 = 2 | 2 | ||||||||
The NPI number 1770193872 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 10 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1639707177 | PRAIRIE BLUFFS REHABILITATION CENTER LLC Organization | Skilled Nursing Facility | 10300 HENNEPIN TOWN RD EDEN PRAIRIE, MN 55347 (507) 203-1001 |
| 1740887090 | PRAIRIE BLUFFS SENIOR LIVING OPERATIONS LLC Organization | Assisted Living Facility | 10300 HENNEPIN TOWN RD EDEN PRAIRIE, MN 55347 (952) 444-5000 |
| 1376211540 | RENEWAL MN LLC Organization | Physical Therapist | 10300 HENNEPIN TOWN RD EDEN PRAIRIE, MN 55347 (952) 444-5000 |
| 1730835257 | ACTIVE THERAPY MN Organization | Physical Therapist | 10300 HENNEPIN TOWN RD EDEN PRAIRIE, MN 55347 (612) 562-8204 |
| 1598478604 | HANNAH KNUTSON PT Individual | Physical Therapist | 10300 HENNEPIN TOWN RD EDEN PRAIRIE, MN 55347 (612) 562-8204 |
| 1932984036 | ASHLEY MAGNUSON OT Individual | Occupational Therapist | 10300 HENNEPIN TOWN RD EDEN PRAIRIE, MN 55347 (612) 562-8204 |
| 1437935293 | JESSICA HORMANN MA OTR/L Individual | Occupational Therapist (Physical Rehabilitation) | 10300 HENNEPIN TOWN RD EDEN PRAIRIE, MN 55347 (651) 270-3920 |
| 1538925706 | JESSICA ANNE WILLIAMS Individual | Speech-Language Pathologist | 10300 HENNEPIN TOWN RD EDEN PRAIRIE, MN 55347 (952) 444-5000 |
| 1952696023 | AMY CHURCHILL PT Individual | Physical Therapist | 10300 HENNEPIN TOWN RD EDEN PRAIRIE, MN 55347 (612) 562-8204 |
| 1043015001 | LAUREN BERTRAND OTD Individual | Occupational Therapist | 10300 HENNEPIN TOWN RD EDEN PRAIRIE, MN 55347 (612) 562-8204 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1770193872, enumerated in the NPI registry as an "organization" on August 04, 2020
The provider is located at 10300 Hennepin Town Rd Eden Prairie, Mn 55347 and the phone number is (952) 444-5000
This medical organization specializes in Skilled Nursing Facility with taxonomy code 314000000X
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 24D2179421 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 August 04, 2020. 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.