GOLDEN MAPLE HOMES, INC.
NPI 1356701379
Custodial Care Facility in Burnsville, MN
NPI Status: Active since March 03, 2016
Contact Information
13104 GIRARD AVE S
BURNSVILLE, MN
ZIP 55337
Phone: (952) 393-3690
- Organization
- Custodial Care Facility
- CLIA Number: 24D2281362
- CLIA Cert. Type: Assisted Living Facility
- CLIA Exp. Date: 05-04-2027
About GOLDEN MAPLE HOMES, INC.
This page provides the complete NPI Profile along with additional information for Golden Maple Homes, Inc., a provider established in Burnsville, Minnesota operating as a Custodial Care Facility. The healthcare provider is registered in the NPI registry with number 1356701379 assigned on March 2016. The practitioner's primary taxonomy code is 311Z00000X with license number 32150 (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 Dr. Carol Fillmore Dnp (Owner)
- NPI
- 1356701379
- Provider Name
- GOLDEN MAPLE HOMES, INC.
- Entity Type
- Organization
- Location Address
- 13104 GIRARD AVE S BURNSVILLE, MN 55337
- Location Phone
- (952) 393-3690
- Mailing Address
- 13104 GIRARD AVE S BURNSVILLE, MN 55337
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-03-2016
- Last Update Date
- 03-03-2016
- 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
Custodial Care Facility
- Taxonomy Code
- 311Z00000X
- Type
- Nursing & Custodial Care Facilities
- License No.
- 32150
- License State
- MN
- Taxonomy Description
- A facility providing care that serves to assist an individual in the activities of daily living, such as assistance in walking, getting in and out of bed, bathing, dressing, feeding, and using the toilet, preparation of special diets, and supervision of medication that usually can be self-administered. Custodial care essentially is personal care that does not require the continuing attention of trained medical or paramedical personnel.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 311ZA0620X | Nursing & Custodial Care Facilities | Custodial Care Facility | 32150 (MN) |
| 2 | 315D00000X | Nursing & Custodial Care Facilities | Hospice, Inpatient | 32150 (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
- 24D2281362
- Facility Type
- Assisted Living Facility
- Certificate Effective Date
- May 05, 2025
- Certificate Expiration Date
- May 04, 2027
- Laboratory Director
- CAROL FILLMORE
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Golden Maple Homes, Inc. 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 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 1356701379, 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 51. The final step is to find the difference between that total and the next multiple of ten (60 - 51 = 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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 51 is 60. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1356701379, enumerated as an "organization" on March 03, 2016.
The provider is located at 13104 GIRARD AVE S BURNSVILLE, MN 55337 and the phone number is (952) 393-3690.
Custodial Care Facility with taxonomy code 311Z00000X.
