DIAMOND WILLOW
NPI 1356564389
Assisted Living Facility in Grand Rapids, MN

NPI Status: Active since April 10, 2007

Contact Information

949 SW 11TH AVENUE
GRAND RAPIDS, MN
ZIP 55744
Phone: (218) 625-2316
Fax: (218) 625-2338

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  • Organization
  • Assisted Living Facility

About DIAMOND WILLOW

This page provides the complete NPI Profile along with additional information for Diamond Willow, a provider established in Grand Rapids, Minnesota operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1356564389 assigned on April 2007. The practitioner's primary taxonomy code is 310400000X with license number 334819 (MN). The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's is doing business as Diamond Willow. The authorized official of this NPI record is Lynn Gevik Rn (Coo)

NPI
1356564389
Provider Legal Name
FIVE STAR LIVING OF GRAND RAPIDS, LLC
Other Organization Name
DIAMOND WILLOW
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
949 SW 11TH AVENUE GRAND RAPIDS, MN 55744
Location Phone
(218) 625-2316
Location Fax
(218) 625-2338
Mailing Address
11 E SUPERIOR ST SUITE 508 DULUTH, MN 55802
Mailing Phone
(218) 625-2316
Mailing Fax
(218) 625-2338
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-10-2007
Last Update Date
08-22-2020
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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

Assisted Living Facility

Taxonomy Code
310400000X
Type
Nursing & Custodial Care Facilities
License No.
334819
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

LYNN GEVIK RN

Authorized Official Title
COO
Authorized Official Phone
(218) 625-2316

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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 1356564389, 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
3
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
6
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
6
Unchanged
Pos 7
4
Doubled → 8
Pos 8
3
Unchanged
Pos 9
8
Doubled → 16 → 1 + 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 5 → 10 → 1 5 → 10 → 1 4 → 8 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

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

2 + 3 + 1 + 0 + 6 + 1 + 0 + 6 + 8 + 3 + 1 + 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 1356564389.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1356564389, enumerated as an "organization" on April 10, 2007.

The provider is located at 949 SW 11TH AVENUE GRAND RAPIDS, MN 55744 and the phone number is (218) 625-2316.

Assisted Living Facility with taxonomy code 310400000X.