MERCY CARE HOME
NPI 1902361280
Home Health in Minnetonka, MN
NPI Status: Active since January 31, 2019
Contact Information
5005 WOODLAND RD
MINNETONKA, MN
ZIP 55345
Phone: (612) 226-0533
- Organization
- Home Health
- CLIA Number: 24D2168994
- CLIA Cert. Type: Assisted Living Facility
- CLIA Exp. Date: 07-12-2025
About MERCY CARE HOME
This page provides the complete NPI Profile along with additional information for Mercy Care Home, a provider established in Minnetonka, Minnesota operating as a Home Health. The healthcare provider is registered in the NPI registry with number 1902361280 assigned on January 2019. The practitioner's primary taxonomy code is 251E00000X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The authorized official of this NPI record is Musa H Jimaale (Management)
- NPI
- 1902361280
- Provider Name
- MERCY CARE HOME
- Entity Type
- Organization
- Location Address
- 5005 WOODLAND RD MINNETONKA, MN 55345
- Location Phone
- (612) 226-0533
- Mailing Address
- 5005 WOODLAND RD MINNETONKA, MN 55345
- Mailing Phone
- (612) 226-0533
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-31-2019
- Last Update Date
- 01-31-2019
- 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
Home Health
- Taxonomy Code
- 251E00000X
- Type
- Agencies
- Taxonomy Description
- A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
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) |
|---|---|---|---|---|
| 1 | 310400000X | Nursing & Custodial Care Facilities | Assisted Living Facility |
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
- 24D2168994
- Facility Type
- Assisted Living Facility
- Certificate Effective Date
- July 13, 2023
- Certificate Expiration Date
- July 12, 2025
- Laboratory Director
- MUSA JIMAALE
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Mercy Care Home 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.
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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 | 9 | 0 | 2 | 3 | 6 | 1 | 2 | 8 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 9 | 0 | 2 | 6 | 6 | 2 | 2 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 9 + 0 + 2 + 6 + 6 + 2 + 2 + 1 + 6 + 24 = 60 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1902361280 is valid because the calculated check digit 0 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 1902361280, enumerated in the NPI registry as an "organization" on January 31, 2019
The provider is located at 5005 Woodland Rd Minnetonka, Mn 55345 and the phone number is (612) 226-0533
This medical organization specializes in Home Health with taxonomy code 251E00000X
The provider's CLIA number is 24D2168994 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 January 31, 2019. 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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