LAVINE PLACE
NPI 1235304767
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Bloomington, MN

NPI Status: Active since April 25, 2008

Contact Information

11754 191ST AVENUE NORTHWEST
BLOOMINGTON, MN
ZIP 55437
Phone: (612) 831-4155

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  • Community Based Residential Treatment Fa...

About LAVINE PLACE

This page provides the complete NPI Profile along with additional information for Lavine Place, a provider established in Bloomington, Minnesota operating as a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The healthcare provider is registered in the NPI registry with number 1235304767 assigned on April 2008. The practitioner's primary taxonomy code is 320900000X with license number 804044 (MN). The provider is registered as an organization and their NPI record was last updated 11 years ago. The provider's is doing business as Lavine Place. The authorized official of this NPI record is Mr. Armando Camacho (President & Ceo)

NPI
1235304767
Provider Legal Name
OPPORTUNITY PARTNERS INC.
Other Organization Name
LAVINE PLACE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
11754 191ST AVENUE NORTHWEST BLOOMINGTON, MN 55437
Location Phone
(612) 831-4155
Mailing Address
5500 OPPORTUNITY CT MINNETONKA, MN 55343
Mailing Phone
(952) 938-5511
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
04-25-2008
Last Update Date
03-28-2014
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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, Intellectual and/or Developmental Disabilities

Taxonomy Code
320900000X
Type
Residential Treatment Facilities
License No.
804044
License State
MN
Taxonomy Description
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

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

MR. ARMANDO CAMACHO

Authorized Official Title
PRESIDENT & CEO
Authorized Official Phone
(952) 912-7464

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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.
1235304767
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2265608712
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 6 + 5 + 6 + 0 + 8 + 7 + 1 + 2 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1235304767 is valid because the calculated check digit 7 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 1235304767, enumerated as an "organization" on April 25, 2008.

The provider is located at 11754 191ST AVENUE NORTHWEST BLOOMINGTON, MN 55437 and the phone number is (612) 831-4155.

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.