RED LAKE HOMELESS SHELTER INC.
NPI 1063030419
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy in Red Lake, MN

NPI Status: Active since July 13, 2020

Contact Information

15855 MAIN AVE
RED LAKE, MN
ZIP 56671
Phone: (218) 679-3228

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NPPES record last updated: July 13, 2020. Verified against the NPPES registry weekly; last sync: July 12, 2026.

  • Organization
  • Indian Health Service/Tribal/Urban India...

About RED LAKE HOMELESS SHELTER INC.

This page provides the complete NPI Profile along with additional information for Red Lake Homeless Shelter Inc., a provider established in Red Lake, Minnesota operating as a Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy. The healthcare provider is registered in the NPI registry with number 1063030419 assigned on July 2020. The practitioner's primary taxonomy code is 332800000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Jordan May (Executive Director)

NPI
1063030419
Provider Name
RED LAKE HOMELESS SHELTER INC.
Entity Type
Organization
Location Address
15855 MAIN AVE RED LAKE, MN 56671
Location Phone
(218) 679-3228
Mailing Address
PO BOX 280 REDLAKE, MN 56671
Mailing Phone
(218) 679-3228
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
07-13-2020
Last Update Date
07-13-2020
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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

Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy

Taxonomy Code
332800000X
Type
Suppliers
Taxonomy Description
An Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy means a pharmacy operated by the Indian Health Service, an Indian tribe or tribal organization, or an urban Indian organization, all of which are defined in Section 4 of the Indian Health Care Improvement Act, 25 U.S.C. 1603.

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)
1251B00000XAgencies

Case Management

 

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

JORDAN MAY

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(218) 679-3228

Reviews for RED LAKE HOMELESS SHELTER INC.

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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 1063030419, we treat the final digit (9) 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 41. The final step is to find the difference between that total and the next multiple of ten (50 - 41 = 9).

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.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
3
Unchanged
Pos 5
0
Doubled → 0
Pos 6
3
Unchanged
Pos 7
0
Doubled → 0
Pos 8
4
Unchanged
Pos 9
1
Doubled → 2
Check
9
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 6 → 12 → 3 0 → 0 0 → 0 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 1 + 2 + 3 + 0 + 3 + 0 + 4 + 2 + 24 = 41

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 41 is 50. The difference is the calculated check digit.

50 - 41 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1063030419.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Community Health Worker
15855 MAIN AVE
REDLAKE, MN 56671
Community Health Worker
15855 MAIN AVE
RED LAKE, MN 56671
Community Health Worker
15855 MAIN AVE
RED LAKE, MN 56671

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063030419, enumerated as an "organization" on July 13, 2020.

The provider is located at 15855 MAIN AVE RED LAKE, MN 56671 and the phone number is (218) 679-3228.

Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy with taxonomy code 332800000X.