KORONIS PLACE ASSISTED LIVING
NPI 1164176202
Nursing Care in Paynesville, MN
NPI Status: Active since February 08, 2022
Contact Information
405 HWY 55
PAYNESVILLE, MN
ZIP 56362
Phone: (320) 764-1503
- Organization
- Nursing Care
- CLIA Number: 24D2259664
- CLIA Cert. Type: Assisted Living Facility
- CLIA Exp. Date: 05-09-2028
About KORONIS PLACE ASSISTED LIVING
This page provides the complete NPI Profile along with additional information for Koronis Place Assisted Living, a provider established in Paynesville, Minnesota operating as a Nursing Care. The healthcare provider is registered in the NPI registry with number 1164176202 assigned on February 2022. The practitioner's primary taxonomy code is 251J00000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's is doing business as Koronis Place Assisted Living. The authorized official of this NPI record is Fred Struzyk (Sec/treasurer)
- NPI
- 1164176202
- Provider Legal Name
- PREMIER HEALTHCARE MANAGEMENT OF PAYNESVILLE LLC
- Other Organization Name
- KORONIS PLACE ASSISTED LIVING
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 405 HWY 55 PAYNESVILLE, MN 56362
- Location Phone
- (320) 764-1503
- Mailing Address
- 410 LUELLA ST WATKINS, MN 55389
- Mailing Phone
- (320) 764-1503
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-08-2022
- Last Update Date
- 10-05-2022
- Code Navigator
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
Nursing Care
- Taxonomy Code
- 251J00000X
- Type
- Agencies
- Taxonomy Description
- A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services.
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) |
|---|---|---|---|---|
| 1 | 310400000X | Nursing & Custodial Care Facilities | Assisted Living Facility |
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
- 24D2259664
- Facility Type
- Assisted Living Facility
- Certificate Effective Date
- May 10, 2026
- Certificate Expiration Date
- May 09, 2028
- Laboratory Director
- LAWRENCE STRATE
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Koronis Place Assisted 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.
Reviews for KORONIS PLACE ASSISTED LIVING
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
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 1164176202, we treat the final digit (2) 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 48. The final step is to find the difference between that total and the next multiple of ten (50 - 48 = 2).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 48 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
PAYNESVILLE, MN 56362
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1164176202, enumerated as an "organization" on February 08, 2022.
The provider is located at 405 HWY 55 PAYNESVILLE, MN 56362 and the phone number is (320) 764-1503.
Nursing Care with taxonomy code 251J00000X.
