MINNESOTA ADULT AND TEEN CHALLENGE- LIFE RENEWAL
NPI 1649636689
Substance Abuse Rehabilitation Facility in Brainerd, MN
NPI Status: Active since January 06, 2016
Contact Information
313 LAUREL ST
BRAINERD, MN
ZIP 56401
Phone: (218) 833-8758
Fax: (218) 828-6932
- Organization
- Substance Abuse Rehabilitation Facility
- CLIA Number: 24D0401415
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 12-22-2025
About MINNESOTA ADULT AND TEEN CHALLENGE- LIFE RENEWAL
This page provides the complete NPI Profile along with additional information for Minnesota Adult And Teen Challenge- Life Renewal, a provider established in Brainerd, Minnesota operating as a Substance Abuse Rehabilitation Facility. The healthcare provider is registered in the NPI registry with number 1649636689 assigned on January 2016. The practitioner's primary taxonomy code is 324500000X with license number 1078601-1-CDT (MN). The provider is registered as an organization and their NPI record was last updated 10 years ago. The provider's is doing business as Minnesota Adult And Teen Challenge- Life Renewal. The authorized official of this NPI record is Mr. James Vincent Lange Ladc (Treatment Director)
- NPI
- 1649636689
- Provider Legal Name
- MINNESOTA TEEN CHALLNGE, INC.
- Other Organization Name
- MINNESOTA ADULT AND TEEN CHALLENGE- LIFE RENEWAL
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 313 LAUREL ST BRAINERD, MN 56401
- Location Phone
- (218) 833-8758
- Location Fax
- (218) 828-6932
- Mailing Address
- 1619 PORTLAND AVE MINNEAPOLIS, MN 55404
- Mailing Phone
- (218) 833-8777
- Mailing Fax
- (218) 828-6932
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-06-2016
- Last Update Date
- 01-06-2016
- 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
Substance Abuse Rehabilitation Facility
- Taxonomy Code
- 324500000X
- Type
- Residential Treatment Facilities
- License No.
- 1078601-1-CDT
- License State
- MN
- Taxonomy Description
- A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
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
- 24D0401415
- Facility Type
- Physician Office
- Certificate Effective Date
- December 23, 2023
- Certificate Expiration Date
- December 22, 2025
- Laboratory Director
- DR. GAURI G. NAGARGOJE
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Minnesota Adult And Teen Challenge- Life Renewal on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
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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 1649636689, 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.
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 71 is 80. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1649636689, enumerated as an "organization" on January 06, 2016.
The provider is located at 313 LAUREL ST BRAINERD, MN 56401 and the phone number is (218) 833-8758.
Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.
