PROMEDICA HOSPICE (EAU CLAIRE)
NPI 1134173446
Hospice Care, Community Based in White Bear Lake, MN

NPI Status: Active since May 20, 2006

Contact Information

3580 LINDEN AVE STE A-1
WHITE BEAR LAKE, MN
ZIP 55110
Phone: (651) 633-6522
Fax: (651) 633-5733

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  • Organization
  • Hospice Care, Community Based

About PROMEDICA HOSPICE (EAU CLAIRE)

This page provides the complete NPI Profile along with additional information for Promedica Hospice (eau Claire), a provider established in White Bear Lake, Minnesota operating as a Hospice Care, Community Based. The healthcare provider is registered in the NPI registry with number 1134173446 assigned on May 2006. The practitioner's primary taxonomy code is 251G00000X with license number 333520 (MN). The provider is registered as an organization and their NPI record was last updated 4 years ago. Promedica Hospice (eau Claire) operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Promedica Hospice (eau Claire). The authorized official of this NPI record is Mr. Martin D Allen (Director)

NPI
1134173446
Provider Legal Name
IN HOME HEALTH LLC
Other Organization Name
PROMEDICA HOSPICE (EAU CLAIRE)
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
3580 LINDEN AVE STE A-1 WHITE BEAR LAKE, MN 55110
Location Phone
(651) 633-6522
Location Fax
(651) 633-5733
Mailing Address
333 N SUMMIT ST ATTN: DEAN SHIPMAN TOLEDO, OH 43604
Mailing Phone
(419) 254-7841
Mailing Fax
(651) 633-5733
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-20-2006
Last Update Date
04-15-2022
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Location Map

Secondary Locations

  • 3410 Oakwood Mall Dr Ste 400
    Eau Claire, WI 54701
    (715) 214-2485

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

Hospice Care, Community Based

Taxonomy Code
251G00000X
Type
Agencies
License No.
333520
License State
MN

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)
1207RH0002XAllopathic & Osteopathic Physicians

Internal Medicine
Hospice and Palliative Medicine

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

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

MR. MARTIN D ALLEN

Authorized Official Title
DIRECTOR
Authorized Official Phone
(419) 252-5734

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
1134173446MEDICAID (05)WI 
091318900MEDICAID (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 1134173446, we treat the final digit (6) 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 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).

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

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 6 + 4 + 2 + 7 + 6 + 4 + 8 + 24 = 64

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

The next multiple of ten after 64 is 70. The difference is the calculated check digit.

70 - 64 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1134173446.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Internal Medicine (Hospice and Palliative Medicine)
3580 LINDEN AVE STE A-1
WHITE BEAR LAKE, MN 55110

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1134173446, enumerated as an "organization" on May 20, 2006.

The provider is located at 3580 LINDEN AVE STE A-1 WHITE BEAR LAKE, MN 55110 and the phone number is (651) 633-6522.

Hospice Care, Community Based with taxonomy code 251G00000X.

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