CROWN MEDICAL HOME HEALTH AGENCY INC
NPI 1154567436
Nursing Facility/Intermediate Care Facility in Minneapolis, MN

NPI Status: Active since December 17, 2008

Contact Information

1925/1931 1ST AVENUE SOUTH
MINNEAPOLIS, MN
ZIP 55403
Phone: (612) 978-3783

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  • Organization
  • Nursing Facility/Intermediate Care Facil...
  • CLIA Number: 24D1025128
  • CLIA Cert. Type: Community Clinic
  • CLIA Exp. Date: 04-28-2026

About CROWN MEDICAL HOME HEALTH AGENCY INC

This page provides the complete NPI Profile along with additional information for Crown Medical Home Health Agency Inc, a provider established in Minneapolis, Minnesota operating as a Nursing Facility/intermediate Care Facility. The healthcare provider is registered in the NPI registry with number 1154567436 assigned on December 2008. The practitioner's primary taxonomy code is 313M00000X with license number 338043 (MN). The provider is registered as an organization and their NPI record was last updated 17 years ago. The authorized official of this NPI record is Dr. Joyce Ihioma Onyekaba M.d (Director)

NPI
1154567436
Provider Name
CROWN MEDICAL HOME HEALTH AGENCY INC
Entity Type
Organization
Location Address
1925/1931 1ST AVENUE SOUTH MINNEAPOLIS, MN 55403
Location Phone
(612) 978-3783
Mailing Address
1925/1931 1ST AVENUE SOUTH MINNEAPOLIS, MN 55403
Mailing Phone
(612) 978-3783
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
12-17-2008
Last Update Date
12-17-2008
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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

Nursing Facility/Intermediate Care Facility

Taxonomy Code
313M00000X
Type
Nursing & Custodial Care Facilities
License No.
338043
License State
MN
Taxonomy Description
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.

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

342349 (MN)

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

DR. JOYCE IHIOMA ONYEKABA M.D

Authorized Official Title
DIRECTOR
Authorized Official Phone
(612) 978-3783

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
24D1025128
Facility Type
Community Clinic
Certificate Effective Date
April 29, 2024
Certificate Expiration Date
April 28, 2026
Laboratory Director
JOYCE I. ONYEKABA
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Crown Medical Home Health Agency 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 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 1154567436, 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 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 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
5
Doubled → 10 → 1 + 0
Pos 4
4
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
6
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
4
Unchanged
Pos 9
3
Doubled → 6
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 5 → 10 → 1 5 → 10 → 1 7 → 14 → 5 3 → 6

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 1 + 0 + 4 + 1 + 0 + 6 + 1 + 4 + 4 + 6 + 24 = 54

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

The next multiple of ten after 54 is 60. The difference is the calculated check digit.

60 - 54 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1154567436.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154567436, enumerated as an "organization" on December 17, 2008.

The provider is located at 1925/1931 1ST AVENUE SOUTH MINNEAPOLIS, MN 55403 and the phone number is (612) 978-3783.

Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.