WENDIGO PINES ASSISTED LIVING
NPI 1205913613
Assisted Living Facility in Grand Rapids, MN

NPI Status: Active since November 01, 2006

Contact Information

20371 WENDIGO PARK RD
GRAND RAPIDS, MN
ZIP 55744
Phone: (218) 326-6900
Fax: (218) 326-6900

Get Directions Write a Review

  • Organization
  • Assisted Living Facility

About WENDIGO PINES ASSISTED LIVING

This page provides the complete NPI Profile along with additional information for Wendigo Pines Assisted Living, a provider established in Grand Rapids, Minnesota operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1205913613 assigned on November 2006. The practitioner's primary taxonomy code is 310400000X with license number 333801 (MN). The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Raisa Povlovna Kotula Rn (Rn Owner)

NPI
1205913613
Provider Name
WENDIGO PINES ASSISTED LIVING
Entity Type
Organization
Location Address
20371 WENDIGO PARK RD GRAND RAPIDS, MN 55744
Location Phone
(218) 326-6900
Location Fax
(218) 326-6900
Mailing Address
20371 WENDIGO PARK RD GRAND RAPIDS, MN 55744
Mailing Phone
(218) 326-6900
Mailing Fax
(218) 326-6900
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-01-2006
Last Update Date
08-22-2020
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

Assisted Living Facility

Taxonomy Code
310400000X
Type
Nursing & Custodial Care Facilities
License No.
333801
License State
MN
Taxonomy Description
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

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

RAISA POVLOVNA KOTULA RN

Authorized Official Title
RN OWNER
Authorized Official Phone
(218) 326-6900

Reviews for WENDIGO PINES 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 1205913613, we treat the final digit (3) 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 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).

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
2
Unchanged
Pos 3
0
Doubled → 0
Pos 4
5
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
1
Unchanged
Pos 7
3
Doubled → 6
Pos 8
6
Unchanged
Pos 9
1
Doubled → 2
Check
3
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 0 → 0 9 → 18 → 9 3 → 6 1 → 2

Step 2: Add all digits plus the NPI constant

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

2 + 2 + 0 + 5 + 1 + 8 + 1 + 6 + 6 + 2 + 24 = 57

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

The next multiple of ten after 57 is 60. The difference is the calculated check digit.

60 - 57 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1205913613.

Other Providers at the Same Location


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

Assisted Living Facility
20371 WENDIGO PARK RD
GRAND RAPIDS, MN 55744

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205913613, enumerated as an "organization" on November 01, 2006.

The provider is located at 20371 WENDIGO PARK RD GRAND RAPIDS, MN 55744 and the phone number is (218) 326-6900.

Assisted Living Facility with taxonomy code 310400000X.