SUMMIT HILL SENIOR LIVING
NPI 1134487556
Assisted Living Facility - Assisted Living, Behavioral Disturbances in Saint Paul, MN

NPI Status: Active since April 24, 2012

Contact Information

1870 OLD HUDSON RD
SAINT PAUL, MN
ZIP 55119
Phone: (651) 451-4446

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  • Organization
  • Assisted Living Facility
  • Assisted Living, Behavioral Disturbances
  • CLIA Number: 24D2041371
  • CLIA Cert. Type: Assisted Living Facility
  • CLIA Exp. Date: 05-21-2026

About SUMMIT HILL SENIOR LIVING

This page provides the complete NPI Profile along with additional information for Summit Hill Senior Living, a provider established in Saint Paul, Minnesota operating as a Assisted Living Facility, focusing in assisted living, behavioral disturbances . The healthcare provider is registered in the NPI registry with number 1134487556 assigned on April 2012. The practitioner's primary taxonomy code is 3104A0630X. The provider is registered as an organization and their NPI record was last updated 14 years ago. The provider's is doing business as Summit Hill Senior Living. The authorized official of this NPI record is Kelly J Myers (Vp Of Operations)

NPI
1134487556
Provider Legal Name
SUMMIT SENIOR LIVING, LLC
Other Organization Name
SUMMIT HILL SENIOR LIVING
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1870 OLD HUDSON RD SAINT PAUL, MN 55119
Location Phone
(651) 451-4446
Mailing Address
2285 WATERS DR MENDOTA HEIGHTS, MN 55120
Mailing Phone
(651) 451-4446
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-24-2012
Last Update Date
04-24-2012
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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 Assisted Living, Behavioral Disturbances

Taxonomy Code
3104A0630X
Type
Nursing & Custodial Care Facilities
Taxonomy Description
A facility providing supportive services to individuals who can function independently in most areas of activity, but exhibit abnormal behavioral responses and habits and therefore need special guidance, assistance and/or monitoring to assure safety and well being. This type of facility requires a staff with special training in dealing with and redirecting negative, violent or destructive behaviors.

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

KELLY J MYERS

Authorized Official Title
VP OF OPERATIONS
Authorized Official Phone
(651) 454-4801

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
24D2041371
Facility Type
Assisted Living Facility
Certificate Effective Date
May 22, 2024
Certificate Expiration Date
May 21, 2026
Laboratory Director
SANDRA HICK
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Summit Hill 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 1134487556, 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
4
Doubled → 8
Pos 6
8
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
5
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
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 4 → 8 7 → 14 → 5 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 6 + 4 + 8 + 8 + 1 + 4 + 5 + 1 + 0 + 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 1134487556.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1134487556, enumerated as an "organization" on April 24, 2012.

The provider is located at 1870 OLD HUDSON RD SAINT PAUL, MN 55119 and the phone number is (651) 451-4446.

Assisted Living Facility with taxonomy code 3104A0630X and a focus in Assisted Living, Behavioral Disturbances.