ST. ANDREW'S VILLAGE
NPI 1699464149
Clinic/Center - Rehabilitation in Mahtomedi, MN
NPI Status: Active since May 02, 2023
Contact Information
240 EAST AVE
MAHTOMEDI, MN
ZIP 55115
Phone: (651) 631-6570
- Organization
- Clinic/Center
- Rehabilitation
- Accepts Insurance
- CLIA Number: 24D2032779
- CLIA Cert. Type: Assisted Living Facility
- CLIA Exp. Date: 11-14-2027
About ST. ANDREW'S VILLAGE
This page provides the complete NPI Profile along with additional information for St. Andrew's Village, a provider established in Mahtomedi, Minnesota operating as a Clinic/center, focusing in rehabilitation . The healthcare provider is registered in the NPI registry with number 1699464149 assigned on May 2023. The practitioner's primary taxonomy code is 261QR0400X. The provider is registered as an organization and their NPI record was last updated 3 years ago. St. Andrew's Village 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 St. Andrew's Village. The authorized official of this NPI record is Ashley Leigh Rue (Director Of Rehabilitation)
- NPI
- 1699464149
- Provider Legal Name
- OPTAGE INC
- Other Organization Name
- ST. ANDREW'S VILLAGE
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 240 EAST AVE MAHTOMEDI, MN 55115
- Location Phone
- (651) 631-6570
- Mailing Address
- 2845 HAMLINE AVE N ROSEVILLE, MN 55113
- Mailing Phone
- (651) 631-6415
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-02-2023
- Last Update Date
- 08-04-2023
- 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
Clinic/Center Rehabilitation
- Taxonomy Code
- 261QR0400X
- Type
- Ambulatory Health Care Facilities
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) |
|---|---|---|---|---|
| 1 | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | |
| 2 | 225X00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | |
| 3 | 235Z00000X | Speech, Language and Hearing Service Providers | Speech-Language Pathologist |
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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Medica Individual Choice Bronze $0 Copay PCP Visits - HMO
- Medica Individual Choice Bronze Share - HMO
- Medica Individual Choice Expanded Bronze Standard - HMO
- Medica Individual Choice Gold $0 Copay PCP Visits - HMO
- Medica Individual Choice Gold Share - HMO
- Medica Individual Choice Gold Standard - HMO
- Medica Individual Choice Silver $0 Copay PCP Visits - HMO
- Medica Individual Choice Silver Share - HMO
- Medica Individual Choice Silver Standard - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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
- 24D2032779
- Facility Type
- Assisted Living Facility
- Certificate Effective Date
- November 15, 2025
- Certificate Expiration Date
- November 14, 2027
- Laboratory Director
- JILLIAN L. OLSON
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to St. Andrew's Village 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 1699464149, 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 81. The final step is to find the difference between that total and the next multiple of ten (90 - 81 = 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 81 is 90. The difference is the calculated check digit.
Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1699464149, enumerated as an "organization" on May 02, 2023.
The provider is located at 240 EAST AVE MAHTOMEDI, MN 55115 and the phone number is (651) 631-6570.
Clinic/Center with taxonomy code 261QR0400X and a focus in Rehabilitation.
The provider might be accepting Accepts: Medica. Please consult your insurance carrier or call the provider to verify.
