LAKE SONG ASSISTED LIVING
NPI 1205959830
Assisted Living Facility in Onamia, MN
NPI Status: Active since April 09, 2007
Contact Information
206 N ELM ST
ONAMIA, MN
ZIP 56359
Phone: (320) 532-2000
Fax: (320) 532-3833
- Organization
- Assisted Living Facility
- CLIA Number: 24D2268921
- CLIA Cert. Type: Assisted Living Facility
- CLIA Exp. Date: 09-19-2026
About LAKE SONG ASSISTED LIVING
This page provides the complete NPI Profile along with additional information for Lake Song Assisted Living, a provider established in Onamia, Minnesota operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1205959830 assigned on April 2007. The practitioner's primary taxonomy code is 310400000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's is doing business as Lake Song Assisted Living. The authorized official of this NPI record is Mrs. Shelly Hanneken R.n. (Health Coordinator)
- NPI
- 1205959830
- Provider Legal Name
- ONAMIA AREA ASSISTED LIVING
- Other Organization Name
- LAKE SONG ASSISTED LIVING
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 206 N ELM ST ONAMIA, MN 56359
- Location Phone
- (320) 532-2000
- Location Fax
- (320) 532-3833
- Mailing Address
- 206 N ELM ST PO BOX 129 ONAMIA, MN 56359
- Mailing Phone
- (320) 532-2000
- Mailing Fax
- (320) 532-3833
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-09-2007
- 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 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.
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
- 24D2268921
- Facility Type
- Assisted Living Facility
- Certificate Effective Date
- September 20, 2024
- Certificate Expiration Date
- September 19, 2026
- Laboratory Director
- CHRISTINA STRAW
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Lake Song 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.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 0 | 5 | 9 | 5 | 9 | 8 | 3 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 0 | 5 | 18 | 5 | 18 | 8 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 0 + 5 + 1 + 8 + 5 + 1 + 8 + 8 + 6 + 24 = 70 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1205959830 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1205959830, enumerated as an "organization" on April 09, 2007.
The provider is located at 206 N ELM ST ONAMIA, MN 56359 and the phone number is (320) 532-2000.
Assisted Living Facility with taxonomy code 310400000X.
