OAK TERRACE HEALTH CARE CENTER OF GAYLORD ,LLC
NPI 1285820092
Skilled Nursing Facility in Gaylord, MN

NPI Status: Active since September 15, 2007

Contact Information

640 3RD ST
GAYLORD, MN
ZIP 55334
Phone: (507) 237-2911
Fax: (507) 237-5744

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  • Organization
  • Skilled Nursing Facility
  • Accepts Insurance
  • CLIA Number: 24D2013251
  • CLIA Cert. Type: Assisted Living Facility
  • CLIA Exp. Date: 09-15-2026

About OAK TERRACE HEALTH CARE CENTER OF GAYLORD ,LLC

This page provides the complete NPI Profile along with additional information for Oak Terrace Health Care Center Of Gaylord ,llc, a provider established in Gaylord, Minnesota operating as a Skilled Nursing Facility. The healthcare provider is registered in the NPI registry with number 1285820092 assigned on September 2007. The practitioner's primary taxonomy code is 314000000X with license number 335464 (MN). The provider is registered as an organization and their NPI record was last updated 10 years ago. The authorized official of this NPI record is Mr. Michael David Montag Owner (Owner)

NPI
1285820092
Provider Name
OAK TERRACE HEALTH CARE CENTER OF GAYLORD ,LLC
Entity Type
Organization
Location Address
640 3RD ST GAYLORD, MN 55334
Location Phone
(507) 237-2911
Location Fax
(507) 237-5744
Mailing Address
1570 TOWER BLVD NORTH MANKATO, MN 56003
Mailing Phone
(507) 387-2037
Mailing Fax
(507) 237-5744
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-15-2007
Last Update Date
12-02-2016
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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

Skilled Nursing Facility

Taxonomy Code
314000000X
Type
Nursing & Custodial Care Facilities
License No.
335464
License State
MN
Taxonomy Description
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

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

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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. MICHAEL DAVID MONTAG OWNER

Authorized Official Title
OWNER
Authorized Official Phone
(507) 381-1312

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
245473MEDICARE UPIN (02)MN 

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
24D2013251
Facility Type
Assisted Living Facility
Certificate Effective Date
September 16, 2024
Certificate Expiration Date
September 15, 2026
Laboratory Director
ANGELINA MAY
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Oak Terrace Health Care Center Of Gaylord ,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.

Reviews for OAK TERRACE HEALTH CARE CENTER OF GAYLORD ,LLC

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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 1285820092, we treat the final digit (2) 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 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).

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
8
Doubled → 16 → 1 + 6
Pos 4
5
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
2
Unchanged
Pos 7
0
Doubled → 0
Pos 8
0
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
2
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 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

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

2 + 2 + 1 + 6 + 5 + 1 + 6 + 2 + 0 + 0 + 1 + 8 + 24 = 58

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

The next multiple of ten after 58 is 60. The difference is the calculated check digit.

60 - 58 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1285820092.

Other Providers at the Same Location


The following 17 providers are registered at the same or a nearby location.

Skilled Nursing Facility
640 3RD ST
GAYLORD, MN 55334
Physical Therapist
640 3RD ST
GAYLORD, MN 55334
Occupational Therapist
640 3RD ST
GAYLORD, MN 55334
Occupational Therapy Assistant
640 3RD ST
GAYLORD, MN 55334
Speech-Language Pathologist
640 3RD ST
GAYLORD, MN 55334
Physical Therapy Assistant
640 3RD ST
GAYLORD, MN 55334
Speech-Language Pathologist
640 3RD ST
GAYLORD, MN 55334
Occupational Therapist
640 3RD ST
GAYLORD, MN 55334
Physical Therapy Assistant
640 3RD ST
GAYLORD, MN 55334
Occupational Therapist
640 3RD ST
GAYLORD, MN 55334
Physical Therapy Assistant
640 3RD ST
GAYLORD, MN 55334
Physical Therapist
640 3RD ST
GAYLORD, MN 55334
Physical Therapy Assistant
640 3RD ST
GAYLORD, MN 55334
Occupational Therapist
640 3RD ST
GAYLORD, MN 55334
Assisted Living Facility
640 3RD ST
GAYLORD, MN 55334
Skilled Nursing Facility
640 3RD ST
GAYLORD, MN 55334
Physical Therapist
640 3RD ST
GAYLORD, MN 55334

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285820092, enumerated as an "organization" on September 15, 2007.

The provider is located at 640 3RD ST GAYLORD, MN 55334 and the phone number is (507) 237-2911.

Skilled Nursing Facility with taxonomy code 314000000X.

The provider might be accepting Accepts: HealthPartners, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.