SUN PRAIRIE HEALTH CARE CENTER
NPI 1174025936
Nursing Care in Sun Prairie, WI

NPI Status: Active since March 07, 2018

Contact Information

228 W MAIN ST
SUN PRAIRIE, WI
ZIP 53590
Phone: (608) 837-5959
Fax: (608) 825-4390

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  • Organization
  • Nursing Care
  • CLIA Number: 52D0676179
  • CLIA Cert. Type: Skilled Nursing Facility/Nursing Facility
  • CLIA Exp. Date: 08-31-2026

About SUN PRAIRIE HEALTH CARE CENTER

This page provides the complete NPI Profile along with additional information for Sun Prairie Health Care Center, a provider established in Sun Prairie, Wisconsin operating as a Nursing Care. The healthcare provider is registered in the NPI registry with number 1174025936 assigned on March 2018. The practitioner's primary taxonomy code is 251J00000X with license number 2598 (WI). The provider is registered as an organization and their NPI record was last updated 8 years ago. The provider's is doing business as Sun Prairie Health Care Center. The authorized official of this NPI record is Kenneth Dao (Vice President)

NPI
1174025936
Provider Legal Name
SUN PRAIRIE HEALTHCARE OPERATIONS, LLC
Other Organization Name
SUN PRAIRIE HEALTH CARE CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
228 W MAIN ST SUN PRAIRIE, WI 53590
Location Phone
(608) 837-5959
Location Fax
(608) 825-4390
Mailing Address
228 W MAIN ST SUN PRAIRIE, WI 53590
Mailing Phone
(608) 837-5959
Mailing Fax
(608) 825-4390
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-07-2018
Last Update Date
03-07-2018
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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 Care

Taxonomy Code
251J00000X
Type
Agencies
License No.
2598
License State
WI
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.

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

KENNETH DAO

Authorized Official Title
VICE PRESIDENT
Authorized Official Phone
(714) 401-9960

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
52D0676179
Facility Type
Skilled Nursing Facility/Nursing Facility
Certificate Effective Date
September 01, 2024
Certificate Expiration Date
August 31, 2026
Laboratory Director
MONA ONSAGER
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Sun Prairie Health Care 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 1174025936, 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
7
Doubled → 14 → 1 + 4
Pos 4
4
Unchanged
Pos 5
0
Doubled → 0
Pos 6
2
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
9
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 7 → 14 → 5 0 → 0 5 → 10 → 1 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 + 4 + 4 + 0 + 2 + 1 + 0 + 9 + 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 1174025936.

Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Skilled Nursing Facility
228 W MAIN ST
SUN PRAIRIE, WI 53590
Occupational Therapy Assistant
228 W MAIN ST
SUN PRAIRIE, WI 53590
Speech-Language Pathologist
228 W MAIN ST
SUN PRAIRIE, WI 53590
Skilled Nursing Facility
228 W MAIN ST
SUN PRAIRIE, WI 53590
Licensed Practical Nurse
228 W MAIN ST
SUN PRAIRIE, WI 53590

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174025936, enumerated as an "organization" on March 07, 2018.

The provider is located at 228 W MAIN ST SUN PRAIRIE, WI 53590 and the phone number is (608) 837-5959.

Nursing Care with taxonomy code 251J00000X.