BRENTWOOD PCS
NPI 1124336862
Community Based Residential Treatment Facility, Mental Illness in Morris, MN

NPI Status: Active since September 15, 2010

Contact Information

801 NEVADA AVE STE 100
MORRIS, MN
ZIP 56267
Phone: (320) 589-2004
Fax: (320) 589-2543

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About BRENTWOOD PCS

This page provides the complete NPI Profile along with additional information for Brentwood Pcs, a provider established in Morris, Minnesota operating as a Community Based Residential Treatment Facility, Mental Illness. The healthcare provider is registered in the NPI registry with number 1124336862 assigned on September 2010. The practitioner's primary taxonomy code is 320800000X with license number 1056816 (MN). The provider is registered as an organization and their NPI record was last updated 15 years ago. The provider's other name is Brentwood Pcs. The authorized official of this NPI record is Sherry Wagner (Assist Director Of Finance)

NPI
1124336862
Provider Legal Name
PRAIRIE COMMUNITY SERVICES
Other Organization Name
BRENTWOOD PCS
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
801 NEVADA AVE STE 100 MORRIS, MN 56267
Location Phone
(320) 589-2004
Location Fax
(320) 589-2543
Mailing Address
801 NEVADA AVE STE 100 MORRIS, MN 56267
Mailing Phone
(320) 589-2004
Mailing Fax
(320) 589-2543
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
09-15-2010
Last Update Date
04-19-2011
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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

Community Based Residential Treatment Facility, Mental Illness

Taxonomy Code
320800000X
Type
Residential Treatment Facilities
License No.
1056816
License State
MN
Taxonomy Description
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

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)
1251S00000XAgencies

Community/Behavioral Health

1056816 (MN)

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.

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

SHERRY WAGNER

Authorized Official Title
ASSIST DIRECTOR OF FINANCE
Authorized Official Phone
(320) 589-4902

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
1124336862MEDICAID (05)MN 

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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 1124336862, we treat the final digit (2) 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 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).

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

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 4 + 4 + 6 + 3 + 1 + 2 + 8 + 1 + 2 + 24 = 58

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

The next multiple of ten after 58 is 60. The difference is the calculated check digit.

60 - 58 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1124336862.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124336862, enumerated as an "organization" on September 15, 2010.

The provider is located at 801 NEVADA AVE STE 100 MORRIS, MN 56267 and the phone number is (320) 589-2004.

Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.