REGINA SENIOR LIVING
NPI 1083045124
Assisted Living Facility in Hastings, MN

NPI Status: Active since November 27, 2013

Contact Information

1175 NININGER RD
HASTINGS, MN
ZIP 55033
Phone: (651) 480-4333
Fax: (651) 404-1286

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  • Organization
  • Assisted Living Facility
  • CLIA Number: 24D2069491
  • CLIA Cert. Type: Skilled Nursing Facility/Nursing Facility
  • CLIA Exp. Date: 11-24-2027

About REGINA SENIOR LIVING

This page provides the complete NPI Profile along with additional information for Regina Senior Living, a provider established in Hastings, Minnesota operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1083045124 assigned on November 2013. The practitioner's primary taxonomy code is 310400000X. The provider is registered as an organization and their NPI record was last updated January 2026. The provider's . The authorized official of this NPI record is Mr. Chad Ketcham (Executive Director)

NPI
1083045124
Provider Legal Name
REGINA SENIOR LIVING
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
1175 NININGER RD HASTINGS, MN 55033
Location Phone
(651) 480-4333
Location Fax
(651) 404-1286
Mailing Address
1175 NININGER RD HASTINGS, MN 55033
Mailing Phone
(651) 480-4333
Mailing Fax
(651) 404-1286
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
11-27-2013
Last Update Date
01-22-2026
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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

Assisted Living Facility

Taxonomy Code
310400000X
Type
Nursing & Custodial Care Facilities
Taxonomy Description
A 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.

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

MR. CHAD KETCHAM

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(651) 404-1515

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
24D2069491
Facility Type
Skilled Nursing Facility/Nursing Facility
Certificate Effective Date
November 25, 2025
Certificate Expiration Date
November 24, 2027
Laboratory Director
LISA HUETMAKER
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Regina 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 1083045124, we treat the final digit (4) 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 46. The final step is to find the difference between that total and the next multiple of ten (50 - 46 = 4).

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
8
Doubled → 16 → 1 + 6
Pos 4
3
Unchanged
Pos 5
0
Doubled → 0
Pos 6
4
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
1
Unchanged
Pos 9
2
Doubled → 4
Check
4
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 8 → 16 → 7 0 → 0 5 → 10 → 1 2 → 4

Step 2: Add all digits plus the NPI constant

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

2 + 0 + 1 + 6 + 3 + 0 + 4 + 1 + 0 + 1 + 4 + 24 = 46

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

The next multiple of ten after 46 is 50. The difference is the calculated check digit.

50 - 46 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1083045124.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Pathology (Forensic Pathology)
1175 NININGER RD
HASTINGS, MN 55033
Pathology (Forensic Pathology)
1175 NININGER RD
HASTINGS, MN 55033
Emergency Medicine
1175 NININGER RD
HASTINGS, MN 55033
General Acute Care Hospital
1175 NININGER RD
HASTINGS, MN 55033
Nurse Anesthetist, Certified Registered
1175 NININGER RD
HASTINGS, MN 55033
Pharmacist
1175 NININGER RD
HASTINGS, MN 55033
Dietitian, Registered
1175 NININGER RD
HASTINGS, MN 55033
Clinic/Center
1175 NININGER RD
HASTINGS, MN 55033
Occupational Therapist
1175 NININGER RD, REGINA MEDICAL CENTER
HASTINGS, MN 55033
Physical Therapist
1175 NININGER RD
HASTINGS, MN 55033
Dietitian, Registered
1175 NININGER RD
HASTINGS, MN 55033
Pharmacist (Pharmacotherapy)
1175 NININGER RD
HASTINGS, MN 55033
Pharmacist
1175 NININGER RD
HASTINGS, MN 55033
Psychiatric Unit
1175 NININGER RD
HASTINGS, MN 55033
Skilled Nursing Facility
1175 NININGER RD
HASTINGS, MN 55033
General Acute Care Hospital
1175 NININGER RD
HASTINGS, MN 55033
Nurse Anesthetist, Certified Registered
1175 NININGER RD
HASTINGS, MN 55033
Emergency Medicine
1175 NININGER RD
HASTINGS, MN 55033
Dietitian, Registered
1175 NININGER RD
HASTINGS, MN 55033
Physical Therapist
1175 NININGER RD
HASTINGS, MN 55033

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1083045124, enumerated as an "organization" on November 27, 2013.

The provider is located at 1175 NININGER RD HASTINGS, MN 55033 and the phone number is (651) 480-4333.

Assisted Living Facility with taxonomy code 310400000X.