GOLDEN VALLEY RESIDENCE NPI 1013089911
Assisted Living Facility in Golden Valley, MN

About GOLDEN VALLEY RESIDENCE

Golden Valley Residence is a provider established in Golden Valley, Minnesota operating as a Assisted Living Facility. The NPI number of Golden Valley Residence is 1013089911 and was assigned on November 2006. The practitioner's primary taxonomy code is 310400000X with license number 24404 (MN). The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Mrs. Marcia Dooner (Administrator)

NPI
1013089911
Provider NameGOLDEN VALLEY RESIDENCE
Location Address1940 MAJOR DR N GOLDEN VALLEY, MN 55422
Location Phone(763) 521-4839
Mailing Address4205 LANCASTER LN N SUITE 109 PLYMOUTH, MN 55441
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date11-15-2006
Last Update Date08-22-2020



The CLIA number of Golden Valley Residence is 24D0870298 registered as a "end stage renal disease dialysis" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to Golden Valley Residence 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.



Primary Taxonomy

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Taxonomy Code310400000X
ClassificationAssisted Living Facility
TypeNursing & Custodial Care Facilities
License No.24404
License StateMN
Taxonomy DescriptionA facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

Business Address

GOLDEN VALLEY RESIDENCE
1940 MAJOR DR N
GOLDEN VALLEY, MN
ZIP 55422
Phone: (763) 521-4839
Fax: (763) 521-4148

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Mailing Address

GOLDEN VALLEY RESIDENCE
4205 LANCASTER LN N
SUITE 109
PLYMOUTH, MN
ZIP 55441
Phone: (763) 550-1774
Fax: (763) 559-9155


Location Map

Authorized Official

The name of the person authorized to submit the NPI application or to officially change data for a health care provider.

Authorized Official NameMRS. MARCIA DOONER
Authorized Official TitleADMINISTRATOR
Authorized Official Phone(763) 550-1774

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 the NPI number 1013089911 is:

CLIA Number24D0870298
Facility TypeEND STAGE RENAL DISEASE DIALYSIS
Certificate TypeCertificate of Waiver

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.
1013089911
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2023081892
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 2 + 3 + 0 + 8 + 1 + 8 + 9 + 2 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 11

The NPI number 1013089911 is valid because the calculated check digit 1 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
1316237845WARM HANDS KIND HEARTS HOME CARE
Organization
Home Health1940 MAJOR DR N
GOLDEN VALLEY, MN 55422
(763) 550-1774

Frequently Asked Questions

What is GOLDEN VALLEY RESIDENCE NPI number?

The NPI number assigned to GOLDEN VALLEY RESIDENCE is 1013089911, registered as an "organization" on November 15, 2006

Where is GOLDEN VALLEY RESIDENCE located?

The provider is located at 1940 Major Dr N Golden Valley, Mn 55422 and the phone number is (763) 521-4839

What kind of medical provider is GOLDEN VALLEY RESIDENCE?

This medical organization specializes in Assisted Living Facility

What is GOLDEN VALLEY RESIDENCE CLIA number?

The provider's CLIA number is 24D0870298 for a "end stage renal disease dialysis" 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..

How do I update my NPI information?

The NPI record of GOLDEN VALLEY RESIDENCE was last updated on November 15, 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 at: [email protected]