MERIDIAN MANOR
NPI 1720593353
Assisted Living Facility in Wayzata, MN

NPI Status: Active since December 05, 2017

Contact Information

163 WAYZATA BLVD W
WAYZATA, MN
ZIP 55391
Phone: (952) 473-3200

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  • Organization
  • Assisted Living Facility

About MERIDIAN MANOR

This page provides the complete NPI Profile along with additional information for Meridian Manor, a provider established in Wayzata, Minnesota operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1720593353 assigned on December 2017. The practitioner's primary taxonomy code is 310400000X with license number 381390 (MN). The provider is registered as an organization and their NPI record was last updated 9 years ago. The provider's is doing business as Meridian Manor. The authorized official of this NPI record is Renae Witschen (Regional Director Of Operations)

NPI
1720593353
Provider Legal Name
MINNESOTA SENIOR LIVING LLC
Other Organization Name
MERIDIAN MANOR
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
163 WAYZATA BLVD W WAYZATA, MN 55391
Location Phone
(952) 473-3200
Mailing Address
915 118TH AVE SE STE 110 BELLEVUE, WA 98005
Mailing Phone
(425) 559-6301
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
12-05-2017
Last Update Date
12-05-2017
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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.
381390
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.

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

RENAE WITSCHEN

Authorized Official Title
REGIONAL DIRECTOR OF OPERATIONS
Authorized Official Phone
(763) 202-1702

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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 1720593353, 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 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 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
2
Doubled → 4
Pos 4
0
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
9
Unchanged
Pos 7
3
Doubled → 6
Pos 8
3
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 2 → 4 5 → 10 → 1 3 → 6 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 + 4 + 0 + 1 + 0 + 9 + 6 + 3 + 1 + 0 + 24 = 57

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

The next multiple of ten after 57 is 60. The difference is the calculated check digit.

60 - 57 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1720593353.

Other Providers at the Same Location


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

Assisted Living Facility
163 WAYZATA BLVD W
WAYZATA, MN 55391

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720593353, enumerated as an "organization" on December 05, 2017.

The provider is located at 163 WAYZATA BLVD W WAYZATA, MN 55391 and the phone number is (952) 473-3200.

Assisted Living Facility with taxonomy code 310400000X.