THE COMMONS ON MARICE
NPI 1578504437
Assisted Living Facility in Eagan, MN

NPI Status: Active since June 09, 2006

Contact Information

1380 MARICE DR
EAGAN, MN
ZIP 55121
Phone: (651) 688-9999
Fax: (651) 688-7888

Get Directions Write a Review

  • Organization
  • Assisted Living Facility
  • CLIA Number: 24D0999799
  • CLIA Cert. Type: Home Health Agency
  • CLIA Exp. Date: 05-21-2028

About THE COMMONS ON MARICE

This page provides the complete NPI Profile along with additional information for The Commons On Marice, a provider established in Eagan, Minnesota operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1578504437 assigned on June 2006. The practitioner's primary taxonomy code is 310400000X with license number 329867 (MN). The provider is registered as an organization and their NPI record was last updated 18 years ago. The provider's is doing business as The Commons On Marice. The authorized official of this NPI record is Miss Denise Gustafson (President)

NPI
1578504437
Provider Legal Name
ILHC OF EAGAN, LLC
Other Organization Name
THE COMMONS ON MARICE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1380 MARICE DR EAGAN, MN 55121
Location Phone
(651) 688-9999
Location Fax
(651) 688-7888
Mailing Address
1107 HAZELTINE BLVD SUITE 200 CHASKA, MN 55318
Mailing Phone
(952) 361-8000
Mailing Fax
(651) 688-7888
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-09-2006
Last Update Date
07-11-2008
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

Assisted Living Facility

Taxonomy Code
310400000X
Type
Nursing & Custodial Care Facilities
License No.
329867
License State
MN
Taxonomy Description
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

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

MISS DENISE GUSTAFSON

Authorized Official Title
PRESIDENT
Authorized Official Phone
(952) 361-8000

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
344718900MEDICAID (05)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
24D0999799
Facility Type
Home Health Agency
Certificate Effective Date
May 22, 2026
Certificate Expiration Date
May 21, 2028
Laboratory Director
MEGAN BICKNER
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to The Commons On Marice 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 THE COMMONS ON MARICE

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

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 1578504437, we treat the final digit (7) 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 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).

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
7
Doubled → 14 → 1 + 4
Pos 4
8
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
0
Unchanged
Pos 7
4
Doubled → 8
Pos 8
4
Unchanged
Pos 9
3
Doubled → 6
Check
7
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 7 → 14 → 5 5 → 10 → 1 4 → 8 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 + 4 + 8 + 1 + 0 + 0 + 8 + 4 + 6 + 24 = 63

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

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1578504437.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Occupational Therapy Assistant
1380 MARICE DR
EAGAN, MN 55121

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1578504437, enumerated as an "organization" on June 09, 2006.

The provider is located at 1380 MARICE DR EAGAN, MN 55121 and the phone number is (651) 688-9999.

Assisted Living Facility with taxonomy code 310400000X.

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