THEODORE I
NPI 1831254408
Community Based Residential Treatment Facility, Mental Illness in Saint Paul, MN

NPI Status: Active since December 26, 2006

Contact Information

1314 LIVINGSTON AVE
SAINT PAUL, MN
ZIP 55118
Phone: (651) 501-2378
Fax: (651) 738-1737

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About THEODORE I

This page provides the complete NPI Profile along with additional information for Theodore I, a provider established in Saint Paul, Minnesota operating as a Community Based Residential Treatment Facility, Mental Illness. The healthcare provider is registered in the NPI registry with number 1831254408 assigned on December 2006. The practitioner's primary taxonomy code is 320800000X with license number 802493-1-RMI (MN). The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's former legal business name is Boston Health Care Systems, Inc.. The authorized official of this NPI record is Mrs. Michele K. Boston (Ceo)

NPI
1831254408
Provider Legal Name
THEODORE I
Other Organization Name
BOSTON HEALTH CARE SYSTEMS, INC.
Other Name Type
Former Legal Business Name (4)
Entity Type
Organization
Location Address
1314 LIVINGSTON AVE SAINT PAUL, MN 55118
Location Phone
(651) 501-2378
Location Fax
(651) 738-1737
Mailing Address
1865 OLD HUDSON RD SAINT PAUL, MN 55119
Mailing Phone
(651) 501-2378
Mailing Fax
(651) 738-1737
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-26-2006
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

Community Based Residential Treatment Facility, Mental Illness

Taxonomy Code
320800000X
Type
Residential Treatment Facilities
License No.
802493-1-RMI
License State
MN
Taxonomy Description
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

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

MRS. MICHELE K. BOSTON

Authorized Official Title
CEO
Authorized Official Phone
(651) 501-2378

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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.
1831254408
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
286145840
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 6 + 1 + 4 + 5 + 8 + 4 + 0 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 88

The NPI number 1831254408 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
1134708787 MADELINE ALESCA NORTH LPCC
Individual
Counselor (Mental Health)1314 LIVINGSTON AVE
WEST ST PAUL, MN 55118
(651) 457-6999

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1831254408, enumerated in the NPI registry as an "organization" on December 26, 2006

The provider is located at 1314 Livingston Ave Saint Paul, Mn 55118 and the phone number is (651) 501-2378

This medical organization specializes in Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X

This NPI record was last updated on December 26, 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].
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.