ARBOR LAKES SENIOR LIVING
NPI 1033415070
Assisted Living Facility - Assisted Living, Behavioral Disturbances in Maple Grove, MN
NPI Status: Active since February 09, 2011
Contact Information
12001 80TH AVENUE NORTH
MAPLE GROVE, MN
ZIP 55369
Phone: (763) 478-2141
- Organization
- Assisted Living Facility
- Assisted Living, Behavioral Disturbances
- CLIA Number: 24D2015826
- CLIA Cert. Type: Assisted Living Facility
- CLIA Exp. Date: 11-04-2026
About ARBOR LAKES SENIOR LIVING
This page provides the complete NPI Profile along with additional information for Arbor Lakes Senior Living, a provider established in Maple Grove, Minnesota operating as a Assisted Living Facility, focusing in assisted living, behavioral disturbances . The healthcare provider is registered in the NPI registry with number 1033415070 assigned on February 2011. The practitioner's primary taxonomy code is 3104A0630X with license number 349940 (MN). The provider is registered as an organization and their NPI record was last updated 15 years ago. The authorized official of this NPI record is Lance E Lemieux (President)
- NPI
- 1033415070
- Provider Name
- ARBOR LAKES SENIOR LIVING
- Entity Type
- Organization
- Location Address
- 12001 80TH AVENUE NORTH MAPLE GROVE, MN 55369
- Location Phone
- (763) 478-2141
- Mailing Address
- 2285 WATERS DR MENDOTA HEIGHTS, MN 55120
- Mailing Phone
- (651) 454-4801
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-09-2011
- Last Update Date
- 02-09-2011
- 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
Assisted Living Facility Assisted Living, Behavioral Disturbances
- Taxonomy Code
- 3104A0630X
- Type
- Nursing & Custodial Care Facilities
- License No.
- 349940
- License State
- MN
- Taxonomy Description
- A facility providing supportive services to individuals who can function independently in most areas of activity, but exhibit abnormal behavioral responses and habits and therefore need special guidance, assistance and/or monitoring to assure safety and well being. This type of facility requires a staff with special training in dealing with and redirecting negative, violent or destructive behaviors.
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 |
|---|---|---|---|
| 349940 | OTHER (01) | MN | MINNESOTA DEPARTMENT OF HEALTH |
| 349937 | OTHER (01) | MN | STATE HOUSING WITH SERVICES |
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
- 24D2015826
- Facility Type
- Assisted Living Facility
- Certificate Effective Date
- November 05, 2024
- Certificate Expiration Date
- November 04, 2026
- Laboratory Director
- LISA M. LEMIEUX
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Arbor Lakes Senior Living 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 NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1033415070, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 50. The final step is to find the difference between that total and the next multiple of ten (50 - 50 = 0).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 50 is 50. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1033415070, enumerated as an "organization" on February 09, 2011.
The provider is located at 12001 80TH AVENUE NORTH MAPLE GROVE, MN 55369 and the phone number is (763) 478-2141.
Assisted Living Facility with taxonomy code 3104A0630X and a focus in Assisted Living, Behavioral Disturbances.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
