PHOENIX RESIDENCE, INC.
NPI 1831285816
Intermediate Care Facility, Intellectual Disabilities in Vadnais Heights, MN
NPI Status: Active since October 05, 2006
Contact Information
1336 E COUNTY ROAD E
VADNAIS HEIGHTS, MN
ZIP 55110
Phone: (651) 484-3278
Fax: (651) 484-2792
- Organization
- Intermediate Care Facility, Intellectual...
About PHOENIX RESIDENCE, INC.
This page provides the complete NPI Profile along with additional information for Phoenix Residence, Inc., a provider established in Vadnais Heights, Minnesota operating as a Intermediate Care Facility, Intellectual Disabilities. The healthcare provider is registered in the NPI registry with number 1831285816 assigned on October 2006. The practitioner's primary taxonomy code is 315P00000X with license number 805117 (MN). The provider is registered as an organization and their NPI record was last updated 17 years ago. The authorized official of this NPI record is Darlene M Scott (President/ceo)
- NPI
- 1831285816
- Provider Name
- PHOENIX RESIDENCE, INC.
- Entity Type
- Organization
- Location Address
- 1336 E COUNTY ROAD E VADNAIS HEIGHTS, MN 55110
- Location Phone
- (651) 484-3278
- Location Fax
- (651) 484-2792
- Mailing Address
- 330 MARIE AVE E WEST ST PAUL, MN 55118
- Mailing Phone
- (651) 227-7655
- Mailing Fax
- (651) 484-2792
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-05-2006
- Last Update Date
- 07-01-2008
- 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
Intermediate Care Facility, Intellectual Disabilities
- Taxonomy Code
- 315P00000X
- Type
- Nursing & Custodial Care Facilities
- License No.
- 805117
- License State
- MN
- Taxonomy Description
- An intermediate care facility providing services for individuals with intellectual disabilities.
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 |
|---|---|---|---|
| 384045000 | MEDICAID (05) | MN |
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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 | 8 | 3 | 1 | 2 | 8 | 5 | 8 | 1 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 8 | 6 | 1 | 4 | 8 | 10 | 8 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 8 + 6 + 1 + 4 + 8 + 1 + 0 + 8 + 2 + 24 = 64 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 64 = 6 | 6 | ||||||||
The NPI number 1831285816 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1831285816, enumerated in the NPI registry as an "organization" on October 05, 2006
The provider is located at 1336 E County Road E Vadnais Heights, Mn 55110 and the phone number is (651) 484-3278
This medical organization specializes in Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X
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.
This NPI record was last updated on October 05, 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.