COUNTRY MANOR CAMPUS LLC
NPI 1912896135
Assisted Living Facility in Sartell, MN

NPI Status: Active since July 01, 2025

Contact Information

520 1ST ST NE
SARTELL, MN
ZIP 56377
Phone: (320) 253-1920

Get Directions Write a Review

  • Organization
  • Assisted Living Facility

About COUNTRY MANOR CAMPUS LLC

This page provides the complete NPI Profile along with additional information for Country Manor Campus Llc, a provider established in Sartell, Minnesota operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1912896135 assigned on July 2025. The practitioner's primary taxonomy code is 310400000X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Kevin G. Harguth (Cfo)

NPI
1912896135
Provider Name
COUNTRY MANOR CAMPUS LLC
Entity Type
Organization
Location Address
520 1ST ST NE SARTELL, MN 56377
Location Phone
(320) 253-1920
Mailing Address
520 1ST ST NE SARTELL, MN 56377
Mailing Phone
(320) 253-1920
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
07-01-2025
Last Update Date
07-01-2025
Code Navigator

Location Map

Secondary Locations

  • 504 1st St NE
    Sartell, MN 56377
    (320) 253-1920

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
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1251E00000XAgencies

Home Health

 

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

KEVIN G. HARGUTH

Authorized Official Title
CFO
Authorized Official Phone
(320) 258-8983

Reviews for COUNTRY MANOR CAMPUS LLC

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

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 1912896135, we treat the final digit (5) 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 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).

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

Step 2: Add all digits plus the NPI constant

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

2 + 9 + 2 + 2 + 1 + 6 + 9 + 1 + 2 + 1 + 6 + 24 = 65

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

The next multiple of ten after 65 is 70. The difference is the calculated check digit.

70 - 65 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1912896135.

Other Providers at the Same Location


The following 12 providers are registered at the same or a nearby location.

Pharmacy (Community/Retail Pharmacy)
520 1ST ST NE
SARTELL, MN 56377
Pharmacy (Long Term Care Pharmacy)
520 1ST ST NE, SUITE A
SARTELL, MN 56377
Non-emergency Medical Transport (VAN)
520 1ST ST NE
SARTELL, MN 56377
Skilled Nursing Facility
520 1ST ST NE
SARTELL, MN 56377
Home Health
520 1ST ST NE
SARTELL, MN 56377
Skilled Nursing Facility
520 1ST ST NE
SARTELL, MN 56377
Pharmacy (Long Term Care Pharmacy)
520 1ST ST NE, SUITE A
SARTELL, MN 56377
Home Health
520 1ST ST NE
SARTELL, MN 56377
Non-emergency Medical Transport (VAN)
520 1ST ST NE
SARTELL, MN 56377
Occupational Therapist
520 1ST ST NE
SARTELL, MN 56377
Pharmacist
520 1ST ST NE
SARTELL, MN 56377
Assisted Living Facility
520 1ST ST NE
SARTELL, MN 56377

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1912896135, enumerated as an "organization" on July 01, 2025.

The provider is located at 520 1ST ST NE SARTELL, MN 56377 and the phone number is (320) 253-1920.

Assisted Living Facility with taxonomy code 310400000X.