ELDER HOMESTEAD
NPI 1710009253
Assisted Living Facility in Minnetonka, MN

NPI Status: Active since April 04, 2007

Contact Information

11400 4TH ST N
MINNETONKA, MN
ZIP 55343
Phone: (952) 933-1752
Fax: (952) 933-0730

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  • Organization
  • Assisted Living Facility
  • CLIA Number: 24D1029214
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 08-11-2026

About ELDER HOMESTEAD

This page provides the complete NPI Profile along with additional information for Elder Homestead, a provider established in Minnetonka, Minnesota operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1710009253 assigned on April 2007. The practitioner's primary taxonomy code is 310400000X with license number 331597 (MN). The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's is doing business as Elder Homestead. The authorized official of this NPI record is Ron Patterson (Assistant Secretary, Treasurer)

NPI
1710009253
Provider Legal Name
VOLUNTEERS OF AMERICA ASSISTED LIVING COMMUNITIES
Other Organization Name
ELDER HOMESTEAD
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
11400 4TH ST N MINNETONKA, MN 55343
Location Phone
(952) 933-1752
Location Fax
(952) 933-0730
Mailing Address
7530 MARKET PLACE DR EDEN PRAIRIE, MN 55344
Mailing Phone
(952) 941-0305
Mailing Fax
(952) 933-0730
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-04-2007
Last Update Date
08-22-2020
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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

Assisted Living Facility

Taxonomy Code
310400000X
Type
Nursing & Custodial Care Facilities
License No.
331597
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.

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

RON PATTERSON

Authorized Official Title
ASSISTANT SECRETARY, TREASURER
Authorized Official Phone
(952) 941-0305

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
49-80455OTHER (01)MNMEDICA
AL0075OTHER (01)MNUCARE MN
114924OTHER (01)MNHEALTHPARTNERS

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
24D1029214
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
August 12, 2024
Certificate Expiration Date
August 11, 2026
Laboratory Director
KIM NESBITT
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Elder Homestead 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 1710009253, 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 47. The final step is to find the difference between that total and the next multiple of ten (50 - 47 = 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
7
Unchanged
Pos 3
1
Doubled → 2
Pos 4
0
Unchanged
Pos 5
0
Doubled → 0
Pos 6
0
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
2
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
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 1 → 2 0 → 0 9 → 18 → 9 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

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

2 + 7 + 2 + 0 + 0 + 0 + 1 + 8 + 2 + 1 + 0 + 24 = 47

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

The next multiple of ten after 47 is 50. The difference is the calculated check digit.

50 - 47 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1710009253.

Other Providers at the Same Location


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

Home Health
11400 4TH ST N
MINNETONKA, MN 55343
Assisted Living Facility
11400 4TH ST N
MINNETONKA, MN 55343

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1710009253, enumerated as an "organization" on April 04, 2007.

The provider is located at 11400 4TH ST N MINNETONKA, MN 55343 and the phone number is (952) 933-1752.

Assisted Living Facility with taxonomy code 310400000X.

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