STONECREST LIVING INC
NPI 1134773047
Home Health in Minnetonka, MN

NPI Status: Active since July 29, 2019

Contact Information

4108 MERRIAM RD
MINNETONKA, MN
ZIP 55305
Phone: (612) 422-1251
Fax: (612) 392-7928

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  • Organization
  • Home Health
  • CLIA Number: 24D2197625
  • CLIA Cert. Type: Assisted Living Facility
  • CLIA Exp. Date: 10-26-2026

About STONECREST LIVING INC

This page provides the complete NPI Profile along with additional information for Stonecrest Living Inc, a provider established in Minnetonka, Minnesota operating as a Home Health. The healthcare provider is registered in the NPI registry with number 1134773047 assigned on July 2019. The practitioner's primary taxonomy code is 251E00000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Stonecrest Living (Admin)

NPI
1134773047
Provider Name
STONECREST LIVING INC
Entity Type
Organization
Location Address
4108 MERRIAM RD MINNETONKA, MN 55305
Location Phone
(612) 422-1251
Location Fax
(612) 392-7928
Mailing Address
4108 MERRIAM RD MINNETONKA, MN 55305
Mailing Phone
(612) 422-1251
Mailing Fax
(612) 392-7928
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-29-2019
Last Update Date
11-01-2019
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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

Home Health

Taxonomy Code
251E00000X
Type
Agencies
Taxonomy Description
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

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)
1310400000XNursing & Custodial Care Facilities

Assisted Living Facility

 

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

STONECREST LIVING

Authorized Official Title
ADMIN
Authorized Official Phone
(612) 422-1251

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
24D2197625
Facility Type
Assisted Living Facility
Certificate Effective Date
October 27, 2024
Certificate Expiration Date
October 26, 2026
Laboratory Director
FARTUN A. AHMED
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Stonecrest Living Inc 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 Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1134773047
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2164147608
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 6 + 4 + 1 + 4 + 7 + 6 + 0 + 8 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1134773047 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1134773047, enumerated as an "organization" on July 29, 2019.

The provider is located at 4108 MERRIAM RD MINNETONKA, MN 55305 and the phone number is (612) 422-1251.

Home Health with taxonomy code 251E00000X.