WHITE BEAR AREA SENIOR PROGAM ISD 624
NPI 1134588031
Home Delivered Meals in White Bear Lake, MN

NPI Status: Active since February 19, 2016

Contact Information

2484 COUNTY ROAD F E
WHITE BEAR LAKE, MN
ZIP 55110
Phone: (612) 623-3363

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  • Organization
  • Home Delivered Meals
  • CLIA Number: 24D0723208
  • CLIA Cert. Type: Ambulance
  • CLIA Exp. Date: 08-31-2026

About WHITE BEAR AREA SENIOR PROGAM ISD 624

This page provides the complete NPI Profile along with additional information for White Bear Area Senior Progam Isd 624, a provider established in White Bear Lake, Minnesota operating as a Home Delivered Meals. The healthcare provider is registered in the NPI registry with number 1134588031 assigned on February 2016. The practitioner's primary taxonomy code is 332U00000X. The provider is registered as an organization and their NPI record was last updated 10 years ago. The authorized official of this NPI record is Wayne Kazmierczak (Director)

NPI
1134588031
Provider Name
WHITE BEAR AREA SENIOR PROGAM ISD 624
Entity Type
Organization
Location Address
2484 COUNTY ROAD F E WHITE BEAR LAKE, MN 55110
Location Phone
(612) 623-3363
Mailing Address
2484 COUNTY ROAD F E WHITE BEAR LAKE, MN 55110
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-19-2016
Last Update Date
02-19-2016
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Location Map

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

Home Delivered Meals

Taxonomy Code
332U00000X
Type
Suppliers
Taxonomy Description
Home-delivered meals are those services or activities designed to prepare and deliver one or more meals a day to an individual's residence in order to prevent institutionalization, malnutrition, and feelings of isolation. Component services or activities may include the cost of personnel, equipment, and food; assessment of nutritional and dietary needs; nutritional education and counseling; socialization services; and information and referral.

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

WAYNE KAZMIERCZAK

Authorized Official Title
DIRECTOR
Authorized Official Phone
(612) 623-3363

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
A365023500MEDICAID (05)MN 

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
24D0723208
Facility Type
Ambulance
Certificate Effective Date
September 01, 2024
Certificate Expiration Date
August 31, 2026
Laboratory Director
JOEL SCHMIDT
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to White Bear Area Senior Progam Isd 624 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 1134588031, we treat the final digit (1) 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 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).

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

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 6 + 4 + 1 + 0 + 8 + 1 + 6 + 0 + 6 + 24 = 59

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

The next multiple of ten after 59 is 60. The difference is the calculated check digit.

60 - 59 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1134588031.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1134588031, enumerated as an "organization" on February 19, 2016.

The provider is located at 2484 COUNTY ROAD F E WHITE BEAR LAKE, MN 55110 and the phone number is (612) 623-3363.

Home Delivered Meals with taxonomy code 332U00000X.

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