MEN'S RESIDENCE
NPI 1568752533
Rehabilitation, Substance Use Disorder Unit in Princeton, MN

NPI Status: Active since April 12, 2011

Contact Information

3079 90TH AVENUE
PRINCETON, MN
ZIP 55371
Phone: (763) 389-5080
Fax: (763) 631-9117

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About MEN'S RESIDENCE

This page provides the complete NPI Profile along with additional information for Men's Residence, a provider established in Princeton, Minnesota operating as a Rehabilitation, Substance Use Disorder Unit. The healthcare provider is registered in the NPI registry with number 1568752533 assigned on April 2011. The practitioner's primary taxonomy code is 276400000X with license number FBL-4868-25062 (MN). The provider is registered as an organization and their NPI record was last updated 14 years ago. The provider's other name is Men's Residence. The authorized official of this NPI record is Mr. Jeffrey Larson (Executive Director)

NPI
1568752533
Provider Legal Name
RUM RIVER HEALTH SERVICES, INC.
Other Organization Name
MEN'S RESIDENCE
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
3079 90TH AVENUE PRINCETON, MN 55371
Location Phone
(763) 389-5080
Location Fax
(763) 631-9117
Mailing Address
101 18TH AVENUE NORTH PRINCETON, MN 55371
Mailing Phone
(763) 389-5080
Mailing Fax
(763) 631-9117
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-12-2011
Last Update Date
07-24-2012
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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

Rehabilitation, Substance Use Disorder Unit

Taxonomy Code
276400000X
Type
Hospital Units
License No.
FBL-4868-25062
License State
MN
Taxonomy Description
A distinct part of a hospital that provides medically monitored, interdisciplinary addiction-focused treatment to patients/clients who have psychoactive substance use disorders (commonly referred to as alcohol and drug abuse or substance abuse.)

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)
1324500000XResidential Treatment Facilities

Substance Abuse Rehabilitation Facility

FBL-4868-25062 (MN)

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. JEFFREY LARSON

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(763) 389-5080

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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 1568752533, we treat the final digit (3) 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 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).

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
5
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
8
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
5
Unchanged
Pos 7
2
Doubled → 4
Pos 8
5
Unchanged
Pos 9
3
Doubled → 6
Check
3
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 6 → 12 → 3 7 → 14 → 5 2 → 4 3 → 6

Step 2: Add all digits plus the NPI constant

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

2 + 5 + 1 + 2 + 8 + 1 + 4 + 5 + 4 + 5 + 6 + 24 = 67

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

The next multiple of ten after 67 is 70. The difference is the calculated check digit.

70 - 67 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1568752533.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1568752533, enumerated as an "organization" on April 12, 2011.

The provider is located at 3079 90TH AVENUE PRINCETON, MN 55371 and the phone number is (763) 389-5080.

Rehabilitation, Substance Use Disorder Unit with taxonomy code 276400000X.