CREDENT CARE LLC
NPI 1780254920
Clinic/Center in Saint Cloud, MN

NPI Status: Active since June 29, 2021

Contact Information

2719 W DIVISION ST STE 124
SAINT CLOUD, MN
ZIP 56301
Phone: (612) 987-9775

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  • Organization
  • Clinic/Center
  • Accepts Insurance

About CREDENT CARE LLC

This page provides the complete NPI Profile along with additional information for Credent Care Llc, a provider established in Saint Cloud, Minnesota operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1780254920 assigned on June 2021. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Shirwa Adan (Owner)

NPI
1780254920
Provider Name
CREDENT CARE LLC
Entity Type
Organization
Location Address
2719 W DIVISION ST STE 124 SAINT CLOUD, MN 56301
Location Phone
(612) 987-9775
Mailing Address
2719 W DIVISION ST STE 124 SAINT CLOUD, MN 56301
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-29-2021
Last Update Date
06-29-2021
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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

Clinic/Center

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
Taxonomy Description
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Insurance Plans Accepted

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

  • Atlas $1,000 Gold - PPO
  • Atlas $1,500 Standard Gold - PPO
  • Atlas $2,650 Plus Silver - PPO
  • Atlas $3,500 HSA Silver - PPO
  • Atlas $5,000 Standard Silver - PPO
  • Atlas $6,500 Plus Bronze - PPO
  • Atlas $7,500 Standard Bronze - PPO
  • Atlas $8,200 HSA Bronze - PPO
  • Atlas $9,200 Catastrophic - PPO

*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

SHIRWA ADAN

Authorized Official Title
OWNER
Authorized Official Phone
(612) 987-9775

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1780254920
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2716045894
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 6 + 0 + 4 + 5 + 8 + 9 + 4 + 24 = 70
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1780254920 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1780254920, enumerated as an "organization" on June 29, 2021.

The provider is located at 2719 W DIVISION ST STE 124 SAINT CLOUD, MN 56301 and the phone number is (612) 987-9775.

Clinic/Center with taxonomy code 261Q00000X.

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