DIAMOND WILLOW ASSISTED LIVING OF DETROIT LAKES
NPI 1811394968
Assisted Living Facility in Detroit Lakes, MN

NPI Status: Active since December 04, 2014

Contact Information

1558 RANDOLPH RD
DETROIT LAKES, MN
ZIP 56501
Phone: (218) 846-0825

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  • Organization
  • Assisted Living Facility

About DIAMOND WILLOW ASSISTED LIVING OF DETROIT LAKES

This page provides the complete NPI Profile along with additional information for Diamond Willow Assisted Living Of Detroit Lakes, a provider established in Detroit Lakes, Minnesota operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1811394968 assigned on December 2014. The practitioner's primary taxonomy code is 310400000X with license number 370704 (MN). The provider is registered as an organization and their NPI record was last updated 11 years ago. The provider's is doing business as Diamond Willow Assisted Living Of Detroit Lakes. The authorized official of this NPI record is Natalie Zeleznikar (Owner)

NPI
1811394968
Provider Legal Name
FCSL DETROIT LAKES, LLC
Other Organization Name
DIAMOND WILLOW ASSISTED LIVING OF DETROIT LAKES
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1558 RANDOLPH RD DETROIT LAKES, MN 56501
Location Phone
(218) 846-0825
Mailing Address
2701 W SUPERIOR ST SUITE 101 DULUTH, MN 55806
Mailing Phone
(218) 625-8488
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-04-2014
Last Update Date
12-04-2014
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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.
370704
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

NATALIE ZELEZNIKAR

Authorized Official Title
OWNER
Authorized Official Phone
(218) 625-8488

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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.
1811394968
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2821698912
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 2 + 1 + 6 + 9 + 8 + 9 + 1 + 2 + 24 = 72
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 72 = 88

The NPI number 1811394968 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


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

FIVE STAR LIVING LLC

Assisted Living Facility

1558 RANDOLPH RD
DETROIT LAKES, MN
ZIP 56501

(218) 625-2316

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1811394968, enumerated as an "organization" on December 04, 2014.

The provider is located at 1558 RANDOLPH RD DETROIT LAKES, MN 56501 and the phone number is (218) 846-0825.

Assisted Living Facility with taxonomy code 310400000X.