MANDA'S HOUSE ST. CLOUD
NPI 1497265995
Registered Nurse - Administrator in St. Cloud, MN
NPI Status: Active since October 10, 2017
Contact Information
2607 15TH AVE SE
ST. CLOUD, MN
ZIP 56304
Phone: (763) 744-6192
Fax: (320) 251-1486
- Organization
- Registered Nurse
- Administrator
- CLIA Number: 24D2150175
- CLIA Cert. Type: Assisted Living Facility
- CLIA Exp. Date: 06-18-2026
About MANDA'S HOUSE ST. CLOUD
This page provides the complete NPI Profile along with additional information for Manda's House St. Cloud, a provider established in St. Cloud, Minnesota operating as a Registered Nurse, focusing in administrator . The healthcare provider is registered in the NPI registry with number 1497265995 assigned on October 2017. The practitioner's primary taxonomy code is 163WA2000X with license number 1813283 (MN). The provider is registered as an organization and their NPI record was last updated 4 years ago. Manda's House St. Cloud operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Manda's House St. Cloud. The authorized official of this NPI record is Romanda M Gaye Registered Nurse (Owner)
- NPI
- 1497265995
- Provider Legal Name
- MY LEGAL NURSE CONSULTANTS LLC
- Other Organization Name
- MANDA'S HOUSE ST. CLOUD
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 2607 15TH AVE SE ST. CLOUD, MN 56304
- Location Phone
- (763) 744-6192
- Location Fax
- (320) 251-1486
- Mailing Address
- 10608 ARROWHEAD ST NW COON RAPIDS, MN 55433
- Mailing Phone
- (763) 744-6192
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-10-2017
- Last Update Date
- 07-06-2022
- Code Navigator
A registered nurse (RN) like Manda's House St. Cloud coordinates and provides patient care and educates patients about various health conditions. Registered nurses give advice and emotional support to patients and their families. The typical duties of a registered nurse include: assessing patient conditions, record medical histories and symptoms, observe patients and record the observations, administer medicines and treatments, consult and collaborate with doctors, operate and monitor medical equipment, teach patients and families how to manage injuries or illnesses, etc.
Registered nurses typically work as part of a team with physicians and other healthcare professionals. In some medical teams registered nurses supervise nursing assistants, licensed practical nurses, and home health aides.
Location Map
Secondary Locations
- 2012 7th Ave S
St. Cloud, MN 56301
(763) 744-6192 - 10608 Arrowhead St NW
Coon Rapids, MN 55433
(763) 744-6192
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
Registered Nurse Administrator
- Taxonomy Code
- 163WA2000X
- Type
- Nursing Service Providers
- License No.
- 1813283
- License State
- MN
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
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
- 24D2150175
- Facility Type
- Assisted Living Facility
- Certificate Effective Date
- June 19, 2024
- Certificate Expiration Date
- June 18, 2026
- Laboratory Director
- ROMANDA GAYE
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Manda's House St. Cloud 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 1497265995, we treat the final digit (5) 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 75. The final step is to find the difference between that total and the next multiple of ten (80 - 75 = 5).
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 75 is 80. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1497265995, enumerated as an "organization" on October 10, 2017.
The provider is located at 2607 15TH AVE SE ST. CLOUD, MN 56304 and the phone number is (763) 744-6192.
Registered Nurse with taxonomy code 163WA2000X and a focus in Administrator.
