ST THERESE HOME, INC
NPI 1790817187
Durable Medical Equipment & Medical Supplies in New Hope, MN

NPI Status: Active since March 12, 2007

Contact Information

8000 BASS LAKE RD
NEW HOPE, MN
ZIP 55428
Phone: (763) 531-5093
Fax: (763) 531-5411

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  • Organization
  • Durable Medical Equipment & Medical Supp...
  • CLIA Number: 24D0900141
  • CLIA Cert. Type: Assisted Living Facility
  • CLIA Exp. Date: 04-17-2027

About ST THERESE HOME, INC

This page provides the complete NPI Profile along with additional information for St Therese Home, Inc, a provider established in New Hope, Minnesota operating as a Durable Medical Equipment & Medical Supplies. The healthcare provider is registered in the NPI registry with number 1790817187 assigned on March 2007. The practitioner's primary taxonomy code is 332B00000X with license number 2005113 (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 Mr. Mike Warden (Cfo)

NPI
1790817187
Provider Name
ST THERESE HOME, INC
Entity Type
Organization
Location Address
8000 BASS LAKE RD NEW HOPE, MN 55428
Location Phone
(763) 531-5093
Location Fax
(763) 531-5411
Mailing Address
8000 BASS LAKE RD NEW HOPE, MN 55428
Mailing Phone
(763) 531-5093
Mailing Fax
(763) 531-5411
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-12-2007
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

Durable Medical Equipment & Medical Supplies

Taxonomy Code
332B00000X
Type
Suppliers
License No.
2005113
License State
MN
Taxonomy Description
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

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

MR. MIKE WARDEN

Authorized Official Title
CFO
Authorized Official Phone
(763) 531-5093

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
24D0900141
Facility Type
Assisted Living Facility
Certificate Effective Date
April 18, 2025
Certificate Expiration Date
April 17, 2027
Laboratory Director
CHRISTINE DELANDER
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to St Therese Home, Inc 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 ST THERESE HOME, 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.
1790817187
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2718016114116
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 8 + 0 + 1 + 6 + 1 + 1 + 4 + 1 + 1 + 6 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1790817187 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 8 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1003937582ST THERESE HOME INC
Organization
Pharmacy (Long Term Care Pharmacy)8000 BASS LAKE RD
NEW HOPE, MN 55428
(763) 531-5005
1982882437MR. GARY A CLAUSON R.PH.
Individual
Pharmacist8000 BASS LAKE RD
NEW HOPE, MN 55428
(763) 531-5005
1699052795 KATHRYN DEANNE MANSERGH RPH
Individual
Pharmacist8000 BASS LAKE RD
NEW HOPE, MN 55428
(763) 531-5005
1487281242 BETH ANNE WESPETAL PT, DPT, GCS
Individual
Physical Therapist (Geriatrics)8000 BASS LAKE RD
NEW HOPE, MN 55428
(712) 278-7261
1295797702SAINT THERESE OF NEW HOPE
Organization
Skilled Nursing Facility8000 BASS LAKE RD
NEW HOPE, MN 55428
(763) 531-5093
1790423978MS. SARAH CATHERINE CONRY SLP
Individual
Speech-Language Pathologist8000 BASS LAKE RD
NEW HOPE, MN 55428
(763) 531-5000
1194571604NEW HOPE OPERATOR LLC
Organization
Skilled Nursing Facility8000 BASS LAKE RD
NEW HOPE, MN 55428
(763) 531-5000
1992551402NEW HOPE ALF OPERATOR LLC
Organization
Assisted Living Facility8000 BASS LAKE RD
NEW HOPE, MN 55428
(763) 531-5000

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790817187, enumerated in the NPI registry as an "organization" on March 12, 2007

The provider is located at 8000 Bass Lake Rd New Hope, Mn 55428 and the phone number is (763) 531-5093

This medical organization specializes in Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X

The provider's CLIA number is 24D0900141 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 March 12, 2007. 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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