ANNE CARLSEN CENTER
NPI 1144582933
Intermediate Care Facility, Intellectual Disabilities in Jamestown, ND

NPI Status: Active since June 08, 2012

Contact Information

2200 20TH ST SW
JAMESTOWN, ND
ZIP 58401
Phone: (701) 952-5142

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  • Organization
  • Intermediate Care Facility, Intellectual...
  • CLIA Number: 35D0655661
  • CLIA Cert. Type: Intermediate Care Facility for Mentally Retarded
  • CLIA Exp. Date: 08-31-2026

About ANNE CARLSEN CENTER

This page provides the complete NPI Profile along with additional information for Anne Carlsen Center, a provider established in Jamestown, North Dakota operating as a Intermediate Care Facility, Intellectual Disabilities. The healthcare provider is registered in the NPI registry with number 1144582933 assigned on June 2012. The practitioner's primary taxonomy code is 315P00000X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Tim Eissinger (Ceo)

NPI
1144582933
Provider Name
ANNE CARLSEN CENTER
Entity Type
Organization
Location Address
2200 20TH ST SW JAMESTOWN, ND 58401
Location Phone
(701) 952-5142
Mailing Address
701 3RD STEEET NW JAMESTOWN, ND 58401
Mailing Phone
(701) 252-3850
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-08-2012
Last Update Date
05-01-2025
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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

Intermediate Care Facility, Intellectual Disabilities

Taxonomy Code
315P00000X
Type
Nursing & Custodial Care Facilities
Taxonomy Description
An intermediate care facility providing services for individuals with intellectual disabilities.

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

TIM EISSINGER

Authorized Official Title
CEO
Authorized Official Phone
(701) 952-5187

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
35D0655661
Facility Type
Intermediate Care Facility for Mentally Retarded
Certificate Effective Date
September 01, 2024
Certificate Expiration Date
August 31, 2026
Laboratory Director
AMANDA SERFOSS
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Anne Carlsen Center 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 1144582933, we treat the final digit (3) 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 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).

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
4
Doubled → 8
Pos 4
4
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
8
Unchanged
Pos 7
2
Doubled → 4
Pos 8
9
Unchanged
Pos 9
3
Doubled → 6
Check
3
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 4 → 8 5 → 10 → 1 2 → 4 3 → 6

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 8 + 4 + 1 + 0 + 8 + 4 + 9 + 6 + 24 = 67

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

The next multiple of ten after 67 is 70. The difference is the calculated check digit.

70 - 67 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1144582933.

Other Providers at the Same Location


The following 12 providers are registered at the same or a nearby location.

Speech-Language Pathologist
2200 20TH ST SW
JAMESTOWN, ND 58401
Physical Therapist
2200 20TH ST SW
JAMESTOWN, ND 58401
Nurse Practitioner
2200 20TH ST SW
JAMESTOWN, ND 58401
Speech-Language Pathologist
2200 20TH ST SW
JAMESTOWN, ND 58401
Physical Therapist
2200 20TH ST SW
JAMESTOWN, ND 58401
Speech-Language Pathologist
2200 20TH ST SW
JAMESTOWN, ND 58401
Occupational Therapist
2200 20TH ST SW
JAMESTOWN, ND 58401
Physical Therapist
2200 20TH ST SW
JAMESTOWN, ND 58401
Occupational Therapist
2200 20TH ST SW
JAMESTOWN, ND 58401
Physical Therapist
2200 20TH ST SW
JAMESTOWN, ND 58401
Speech-Language Pathologist
2200 20TH ST SW
JAMESTOWN, ND 58401
Community/Behavioral Health
2200 20TH ST SW
JAMESTOWN, ND 58401

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1144582933, enumerated as an "organization" on June 08, 2012.

The provider is located at 2200 20TH ST SW JAMESTOWN, ND 58401 and the phone number is (701) 952-5142.

Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.