ANDREW RESIDENCE
NPI 1861452278
Intermediate Care Facility, Mental Illness in Minneapolis, MN
NPI Status: Active since March 28, 2006
Contact Information
1215 S 9TH ST
MINNEAPOLIS, MN
ZIP 55404
Phone: (612) 333-0111
Fax: (612) 338-1734
- Organization
- Intermediate Care Facility, Mental Illne...
- CLIA Number: 24D0401289
- CLIA Cert. Type: Skilled Nursing Facility/Nursing Facility
- CLIA Exp. Date: 08-31-2026
About ANDREW RESIDENCE
This page provides the complete NPI Profile along with additional information for Andrew Residence, a provider established in Minneapolis, Minnesota operating as a Intermediate Care Facility, Mental Illness. The healthcare provider is registered in the NPI registry with number 1861452278 assigned on March 2006. The practitioner's primary taxonomy code is 310500000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's is doing business as Andrew Residence. The authorized official of this NPI record is Mrs. Karen Marie Foy Ma (Executive Director)
- NPI
- 1861452278
- Provider Legal Name
- ANDREW RESIDENCE MANAGEMENT INC
- Other Organization Name
- ANDREW RESIDENCE
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1215 S 9TH ST MINNEAPOLIS, MN 55404
- Location Phone
- (612) 333-0111
- Location Fax
- (612) 338-1734
- Mailing Address
- 1215 S 9TH ST MINNEAPOLIS, MN 55404
- Mailing Phone
- (612) 333-0111
- Mailing Fax
- (612) 338-1734
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-28-2006
- Last Update Date
- 08-22-2020
- Code Navigator
Location Map
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
Intermediate Care Facility, Mental Illness
- Taxonomy Code
- 310500000X
- Type
- Nursing & Custodial Care Facilities
- Taxonomy Description
- A nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness.
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
- 24D0401289
- Facility Type
- Skilled Nursing Facility/Nursing Facility
- Certificate Effective Date
- September 01, 2024
- Certificate Expiration Date
- August 31, 2026
- Laboratory Director
- JENNIFER M. FITCH
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Andrew Residence 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 1861452278, we treat the final digit (8) 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 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 62 is 70. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1861452278, enumerated as an "organization" on March 28, 2006.
The provider is located at 1215 S 9TH ST MINNEAPOLIS, MN 55404 and the phone number is (612) 333-0111.
Intermediate Care Facility, Mental Illness with taxonomy code 310500000X.
