SUMMIT INTEGRATED SERVICES LLC
NPI 1174203335
Rehabilitation, Substance Use Disorder Unit in Plymouth, MN
NPI Status: Active since July 24, 2023
Contact Information
4205 LANCASTER LN N STE 100
PLYMOUTH, MN
ZIP 55441
Phone: (612) 600-4575
- Organization
- Rehabilitation, Substance Use Disorder U...
- Accepts Insurance
- CLIA Number: 24D2313473
- CLIA Cert. Type: Other - SUBSTANCE ABUSE TREATMENT
- CLIA Exp. Date: 10-30-2026
About SUMMIT INTEGRATED SERVICES LLC
This page provides the complete NPI Profile along with additional information for Summit Integrated Services Llc, a provider established in Plymouth, Minnesota operating as a Rehabilitation, Substance Use Disorder Unit. The healthcare provider is registered in the NPI registry with number 1174203335 assigned on July 2023. The practitioner's primary taxonomy code is 276400000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Asad Hassan (Manager)
- NPI
- 1174203335
- Provider Name
- SUMMIT INTEGRATED SERVICES LLC
- Entity Type
- Organization
- Location Address
- 4205 LANCASTER LN N STE 100 PLYMOUTH, MN 55441
- Location Phone
- (612) 600-4575
- Mailing Address
- 7101 YORK AVE S # 357 EDINA, MN 55435
- Mailing Phone
- (612) 564-9816
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-24-2023
- Last Update Date
- 10-14-2024
- 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
Rehabilitation, Substance Use Disorder Unit
- Taxonomy Code
- 276400000X
- Type
- Hospital Units
- Taxonomy Description
- A distinct part of a hospital that provides medically monitored, interdisciplinary addiction-focused treatment to patients/clients who have psychoactive substance use disorders (commonly referred to as alcohol and drug abuse or substance abuse.)
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 | 251E00000X | Agencies | Home Health | |
| 2 | 261QM0801X | Ambulatory Health Care Facilities | Clinic/Center |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Atlas $1,300 Gold - PPO
- Atlas $2,000 Standard Gold - PPO
- Atlas $3,050 Plus Silver - PPO
- Atlas $3,800 HSA Silver - PPO
- Atlas $6,000 Standard Silver - PPO
- Atlas $6,800 Plus Bronze HSA - PPO
- Atlas $7,500 Standard Bronze HSA - PPO
- Atlas $8,400 HSA Bronze - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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
- 24D2313473
- Facility Type
- Other - SUBSTANCE ABUSE TREATMENT
- Certificate Effective Date
- October 31, 2024
- Certificate Expiration Date
- October 30, 2026
- Laboratory Director
- ASAD HASSAN
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Summit Integrated Services Llc 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 1174203335, we treat the final digit (5) 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 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).
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 55 is 60. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1174203335, enumerated as an "organization" on July 24, 2023.
The provider is located at 4205 LANCASTER LN N STE 100 PLYMOUTH, MN 55441 and the phone number is (612) 600-4575.
Rehabilitation, Substance Use Disorder Unit with taxonomy code 276400000X.
The provider might be accepting Accepts: HealthPartners. Please consult your insurance carrier or call the provider to verify.
