GUARDIAN ANGELS ELIM HOME CARE, INC
NPI 1417988429
Home Health in Elk River, MN

NPI Status: Active since July 06, 2006

Contact Information

403 MAIN ST NW
ELK RIVER, MN
ZIP 55330
Phone: (763) 241-0654
Fax: (763) 241-0274

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  • Organization
  • Home Health
  • Accepts Insurance
  • CLIA Number: 24D1041853
  • CLIA Cert. Type: Home Health Agency
  • CLIA Exp. Date: 06-13-2027

About GUARDIAN ANGELS ELIM HOME CARE, INC

This page provides the complete NPI Profile along with additional information for Guardian Angels Elim Home Care, Inc, a provider established in Elk River, Minnesota operating as a Home Health. The healthcare provider is registered in the NPI registry with number 1417988429 assigned on July 2006. The practitioner's primary taxonomy code is 251E00000X with license number 330532 (MN). The provider is registered as an organization and their NPI record was last updated one year ago. The provider's . The authorized official of this NPI record is Julie Embry Mba (Director)

NPI
1417988429
Provider Legal Name
GUARDIAN ANGELS ELIM HOME CARE, INC
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
403 MAIN ST NW ELK RIVER, MN 55330
Location Phone
(763) 241-0654
Location Fax
(763) 241-0274
Mailing Address
403 MAIN ST NW ELK RIVER, MN 55330
Mailing Phone
(763) 241-0654
Mailing Fax
(763) 241-0274
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-06-2006
Last Update Date
07-10-2025
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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

Home Health

Taxonomy Code
251E00000X
Type
Agencies
License No.
330532
License State
MN
Taxonomy Description
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

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.

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

JULIE EMBRY MBA

Authorized Official Title
DIRECTOR
Authorized Official Phone
(763) 241-0654

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
182454OTHER (01)UCARE
108027OTHER (01)UCARE
4537GUOTHER (01)BCBS/BLUE PLUS
704055500MEDICAID (05)MN 
59-00039OTHER (01)MEDICA
AL0074OTHER (01)UCARE

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
24D1041853
Facility Type
Home Health Agency
Certificate Effective Date
June 14, 2025
Certificate Expiration Date
June 13, 2027
Laboratory Director
JESSICA KUEHLWEIN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Guardian Angels Elim Home Care, 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.

Reviews for GUARDIAN ANGELS ELIM HOME CARE, INC

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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 1417988429, 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 71. The final step is to find the difference between that total and the next multiple of ten (80 - 71 = 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
4
Unchanged
Pos 3
1
Doubled → 2
Pos 4
7
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
8
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
4
Unchanged
Pos 9
2
Doubled → 4
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 1 → 2 9 → 18 → 9 8 → 16 → 7 2 → 4

Step 2: Add all digits plus the NPI constant

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

2 + 4 + 2 + 7 + 1 + 8 + 8 + 1 + 6 + 4 + 4 + 24 = 71

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

The next multiple of ten after 71 is 80. The difference is the calculated check digit.

80 - 71 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1417988429.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Physical Therapist
403 MAIN ST NW
ELK RIVER, MN 55330
Hospice Care, Community Based
403 MAIN ST NW
ELK RIVER, MN 55330

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1417988429, enumerated as an "organization" on July 06, 2006.

The provider is located at 403 MAIN ST NW ELK RIVER, MN 55330 and the phone number is (763) 241-0654.

Home Health with taxonomy code 251E00000X.

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