PRO REHAB
NPI 1528304490
Skilled Nursing Facility in Elk River, MN

NPI Status: Active since December 21, 2012

Contact Information

400 EVANS AVE NW
ELK RIVER, MN
ZIP 55330
Phone: (952) 955-2242
Fax: (952) 955-2010

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  • Organization
  • Skilled Nursing Facility

About PRO REHAB

This page provides the complete NPI Profile along with additional information for Pro Rehab, a provider established in Elk River, Minnesota operating as a Skilled Nursing Facility. The healthcare provider is registered in the NPI registry with number 1528304490 assigned on December 2012. The practitioner's primary taxonomy code is 314000000X with license number 101944 (MN). The provider is registered as an organization and their NPI record was last updated 13 years ago. The provider's is doing business as Pro Rehab. The authorized official of this NPI record is Mr. Jeff Dagen Rpt (Office Manager)

NPI
1528304490
Provider Legal Name
ELIM HOMES, INC
Other Organization Name
PRO REHAB
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
400 EVANS AVE NW ELK RIVER, MN 55330
Location Phone
(952) 955-2242
Location Fax
(952) 955-2010
Mailing Address
200 LEWIS AVE S SUITE 210 WATERTOWN, MN 55388
Mailing Phone
(952) 955-2242
Mailing Fax
(952) 955-2010
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-21-2012
Last Update Date
12-21-2012
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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.
101944
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.

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. JEFF DAGEN RPT

Authorized Official Title
OFFICE MANAGER
Authorized Official Phone
(952) 955-2242

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1528304490
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2548608418
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 4 + 8 + 6 + 0 + 8 + 4 + 1 + 8 + 24 = 70
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1528304490 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


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

TRACY JO SADOWSKI OTR

Occupational Therapist

400 EVANS AVE NW
ELK RIVER, MN
ZIP 55330

(952) 955-2242

GUARDIAN ANGELS ELIM HOME CARE, INC.

Home Health

400 EVANS AVE NW
ELK RIVER, MN
ZIP 55330

(763) 241-0654

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1528304490, enumerated as an "organization" on December 21, 2012.

The provider is located at 400 EVANS AVE NW ELK RIVER, MN 55330 and the phone number is (952) 955-2242.

Skilled Nursing Facility with taxonomy code 314000000X.