PHC COMMUNITY
NPI 1134431802
Nursing Care in Brooklyn Center, MN
NPI Status: Active since July 09, 2010
Contact Information
6424 JUNE AVE N
BROOKLYN CENTER, MN
ZIP 55429
Phone: (763) 444-1361
Fax: (763) 444-1358
- Organization
- Nursing Care
- CLIA Number: 24D2052721
- CLIA Cert. Type: Home Health Agency
- CLIA Exp. Date: 01-16-2027
About PHC COMMUNITY
This page provides the complete NPI Profile along with additional information for Phc Community, a provider established in Brooklyn Center, Minnesota operating as a Nursing Care. The healthcare provider is registered in the NPI registry with number 1134431802 assigned on July 2010. The practitioner's primary taxonomy code is 251J00000X with license number 372551 (MN). The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's is doing business as Phc Community. The authorized official of this NPI record is Faisale Sale Boukari (President)
- NPI
- 1134431802
- Provider Legal Name
- PLATEAU HEALTHCARE LLC
- Other Organization Name
- PHC COMMUNITY
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 6424 JUNE AVE N BROOKLYN CENTER, MN 55429
- Location Phone
- (763) 444-1361
- Location Fax
- (763) 444-1358
- Mailing Address
- 8848 ZEALAND AVE N STE B BROOKLYN PARK, MN 55445
- Mailing Phone
- (763) 444-1361
- Mailing Fax
- (763) 444-1358
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-09-2010
- Last Update Date
- 04-28-2023
- Code Navigator
Location Map
Secondary Locations
- 9962 104th Ave N
Maple Grove, MN 55369
(763) 444-1361 - 7900 Mount Curve Blvd
Minneapolis, MN 55445
(763) 444-1361 - 1817 Laramie Trl
Brooklyn Park, MN 55444
(763) 444-1361 - 9923 Queen Cir
Bloomington, MN 55431
(763) 444-1361 - 7890 Mount Curve Blvd N
Brooklyn Park, MN 55445
(763) 444-1361
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
Nursing Care
- Taxonomy Code
- 251J00000X
- Type
- Agencies
- License No.
- 372551
- License State
- MN
- Taxonomy Description
- A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services.
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) |
|---|---|---|---|---|
| 1 | 251E00000X | Agencies | Home Health | 352764 (MN) |
| 2 | 251J00000X | Agencies | Nursing Care | 352764 (MN) |
| 3 | 253Z00000X | Agencies | In Home Supportive Care | 353611 (MN) |
| 4 | 310400000X | Nursing & Custodial Care Facilities | Assisted Living Facility |
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
- 24D2052721
- Facility Type
- Home Health Agency
- Certificate Effective Date
- January 17, 2025
- Certificate Expiration Date
- January 16, 2027
- Laboratory Director
- FAISALE S. BOUKARI
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Phc Community 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 1134431802, 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.
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 58 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1134431802, enumerated as an "organization" on July 09, 2010.
The provider is located at 6424 JUNE AVE N BROOKLYN CENTER, MN 55429 and the phone number is (763) 444-1361.
Nursing Care with taxonomy code 251J00000X.
