PRAIRIE LAKES YOUTH PROGRAMS GIRLS GROUP HOME
NPI 1831376680
Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, Children in Willmar, MN

NPI Status: Active since January 23, 2008

Contact Information

822 PARK AVE
WILLMAR, MN
ZIP 56201
Phone: (320) 235-6637
Fax: (320) 235-6659

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  • Organization
  • Substance Abuse Rehabilitation Facility
  • Substance Abuse Treatment, Children
  • CLIA Number: 24D2275392
  • CLIA Cert. Type: Other - CORRECTIONAL FACILITY
  • CLIA Exp. Date: 01-19-2027

About PRAIRIE LAKES YOUTH PROGRAMS GIRLS GROUP HOME

This page provides the complete NPI Profile along with additional information for Prairie Lakes Youth Programs Girls Group Home, a provider established in Willmar, Minnesota operating as a Substance Abuse Rehabilitation Facility, focusing in substance abuse treatment, children . The healthcare provider is registered in the NPI registry with number 1831376680 assigned on January 2008. The practitioner's primary taxonomy code is 3245S0500X with license number 1049805-1-CRF (MN). The provider is registered as an organization and their NPI record was last updated 18 years ago. The authorized official of this NPI record is Joyce K. Mcgillivray (Accounts Manager)

NPI
1831376680
Provider Name
PRAIRIE LAKES YOUTH PROGRAMS GIRLS GROUP HOME
Entity Type
Organization
Location Address
822 PARK AVE WILLMAR, MN 56201
Location Phone
(320) 235-6637
Location Fax
(320) 235-6659
Mailing Address
1804 CIVIC CENTER DR PO BOX 902 WILLMAR, MN 56201
Mailing Phone
(320) 235-0975
Mailing Fax
(320) 235-6659
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-23-2008
Last Update Date
01-23-2008
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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

Substance Abuse Rehabilitation Facility Substance Abuse Treatment, Children

Taxonomy Code
3245S0500X
Type
Residential Treatment Facilities
License No.
1049805-1-CRF
License State
MN
Taxonomy Description
A facility or distinct part of a facility for children that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.

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

JOYCE K. MCGILLIVRAY

Authorized Official Title
ACCOUNTS MANAGER
Authorized Official Phone
(320) 235-0975

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
24D2275392
Facility Type
Other - CORRECTIONAL FACILITY
Certificate Effective Date
January 20, 2025
Certificate Expiration Date
January 19, 2027
Laboratory Director
AMY E. KRUPKE
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Prairie Lakes Youth Programs Girls Group Home 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 1831376680, we treat the final digit (0) 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 70. The final step is to find the difference between that total and the next multiple of ten (70 - 70 = 0).

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
8
Unchanged
Pos 3
3
Doubled → 6
Pos 4
1
Unchanged
Pos 5
3
Doubled → 6
Pos 6
7
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
6
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
0
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 3 → 6 3 → 6 6 → 12 → 3 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

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

2 + 8 + 6 + 1 + 6 + 7 + 1 + 2 + 6 + 1 + 6 + 24 = 70

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

The next multiple of ten after 70 is 70. The difference is the calculated check digit.

70 - 70 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1831376680.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1831376680, enumerated as an "organization" on January 23, 2008.

The provider is located at 822 PARK AVE WILLMAR, MN 56201 and the phone number is (320) 235-6637.

Substance Abuse Rehabilitation Facility with taxonomy code 3245S0500X and a focus in Substance Abuse Treatment, Children.