OUR LADY OF PEACE
NPI 1871580530
Registered Nurse - Hospice in St Paul, MN

NPI Status: Active since September 28, 2005

Contact Information

2076 ST ANTHONY AVE
ST PAUL, MN
ZIP 55104
Phone: (651) 789-5030
Fax: (651) 789-0078

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  • Organization
  • Registered Nurse
  • Hospice
  • CLIA Number: 24D1040161
  • CLIA Cert. Type: Hospice
  • CLIA Exp. Date: 05-01-2027

About OUR LADY OF PEACE

This page provides the complete NPI Profile along with additional information for Our Lady Of Peace, a provider established in St Paul, Minnesota operating as a Registered Nurse, focusing in hospice . The healthcare provider is registered in the NPI registry with number 1871580530 assigned on September 2005. The practitioner's primary taxonomy code is 163WH1000X with license number 241573 (MN). The provider is registered as an organization and their NPI record was last updated one year ago. Our Lady Of Peace operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's . The authorized official of this NPI record is Jeffrey Thorne (Ceo/administrator)

NPI
1871580530
Provider Legal Name
OUR LADY OF PEACE
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
2076 ST ANTHONY AVE ST PAUL, MN 55104
Location Phone
(651) 789-5030
Location Fax
(651) 789-0078
Mailing Address
2076 ST ANTHONY AVE ST PAUL, MN 55104
Mailing Phone
(651) 789-5030
Mailing Fax
(651) 789-0078
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-28-2005
Last Update Date
03-04-2025
Code Navigator

A registered nurse (RN) like Our Lady Of Peace coordinates and provides patient care and educates patients about various health conditions. Registered nurses give advice and emotional support to patients and their families. The typical duties of a registered nurse include: assessing patient conditions, record medical histories and symptoms, observe patients and record the observations, administer medicines and treatments, consult and collaborate with doctors, operate and monitor medical equipment, teach patients and families how to manage injuries or illnesses, etc.

Registered nurses typically work as part of a team with physicians and other healthcare professionals. In some medical teams registered nurses supervise nursing assistants, licensed practical nurses, and home health aides.

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

Registered Nurse Hospice

Taxonomy Code
163WH1000X
Type
Nursing Service Providers
License No.
241573
License State
MN

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

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

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*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

JEFFREY THORNE

Authorized Official Title
CEO/ADMINISTRATOR
Authorized Official Phone
(651) 789-5031

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
150043101MEDICAID (05)MN 

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
24D1040161
Facility Type
Hospice
Certificate Effective Date
May 02, 2025
Certificate Expiration Date
May 01, 2027
Laboratory Director
NANCY LARSON
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Our Lady Of Peace 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.

Reviews for OUR LADY OF PEACE

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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 1871580530, 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 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 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
7
Doubled → 14 → 1 + 4
Pos 4
1
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
8
Unchanged
Pos 7
0
Doubled → 0
Pos 8
5
Unchanged
Pos 9
3
Doubled → 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 7 → 14 → 5 5 → 10 → 1 0 → 0 3 → 6

Step 2: Add all digits plus the NPI constant

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

2 + 8 + 1 + 4 + 1 + 1 + 0 + 8 + 0 + 5 + 6 + 24 = 60

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

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

60 - 60 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1871580530.

Other Providers at the Same Location


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

Registered Nurse (Home Health)
2076 ST ANTHONY AVE
ST PAUL, MN 55104

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1871580530, enumerated as an "organization" on September 28, 2005.

The provider is located at 2076 ST ANTHONY AVE ST PAUL, MN 55104 and the phone number is (651) 789-5030.

Registered Nurse with taxonomy code 163WH1000X and a focus in Hospice.

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