WILLOW HAVEN
NPI 1184840639
Community Based Residential Treatment Facility, Mental Illness in Lake Elmo, MN

NPI Status: Active since April 17, 2007

Contact Information

3819 LAVERN AVE N
LAKE ELMO, MN
ZIP 55042
Phone: (651) 770-2224
Fax: (651) 773-6501

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About WILLOW HAVEN

This page provides the complete NPI Profile along with additional information for Willow Haven, a provider established in Lake Elmo, Minnesota operating as a Community Based Residential Treatment Facility, Mental Illness. The healthcare provider is registered in the NPI registry with number 1184840639 assigned on April 2007. The practitioner's primary taxonomy code is 320800000X with license number 810111-3-RMI (MN). The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's is doing business as Willow Haven. The authorized official of this NPI record is Jeff Bradley (President)

NPI
1184840639
Provider Legal Name
THRIVE BEHAVIORAL NETWORK III, LLC
Other Organization Name
WILLOW HAVEN
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
3819 LAVERN AVE N LAKE ELMO, MN 55042
Location Phone
(651) 770-2224
Location Fax
(651) 773-6501
Mailing Address
2700 1ST ST N STE 300 SAINT CLOUD, MN 56303
Mailing Phone
(320) 255-9530
Mailing Fax
(651) 773-6501
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-17-2007
Last Update Date
11-08-2022
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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

Community Based Residential Treatment Facility, Mental Illness

Taxonomy Code
320800000X
Type
Residential Treatment Facilities
License No.
810111-3-RMI
License State
MN
Taxonomy Description
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

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

JEFF BRADLEY

Authorized Official Title
PRESIDENT
Authorized Official Phone
(612) 385-7857

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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 1184840639, we treat the final digit (9) 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 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

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
8
Doubled → 16 → 1 + 6
Pos 4
4
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
4
Unchanged
Pos 7
0
Doubled → 0
Pos 8
6
Unchanged
Pos 9
3
Doubled → 6
Check
9
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 8 → 16 → 7 8 → 16 → 7 0 → 0 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 + 6 + 4 + 1 + 6 + 4 + 0 + 6 + 6 + 24 = 61

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

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1184840639.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Community Based Residential Treatment Facility, Mental Illness
3819 LAVERN AVE N
LAKE ELMO, MN 55042

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1184840639, enumerated as an "organization" on April 17, 2007.

The provider is located at 3819 LAVERN AVE N LAKE ELMO, MN 55042 and the phone number is (651) 770-2224.

Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.