PRAIRIE GRACE HOSPICE LLC
NPI 1962276238
Hospice Care, Community Based in Mankato, MN

NPI Status: Active since November 08, 2023

Contact Information

1028 N RIVERFRONT DR
MANKATO, MN
ZIP 56001
Phone: (507) 821-0430
Fax: (507) 540-1275

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  • Organization
  • Hospice Care, Community Based
  • CLIA Number: 24D2290304
  • CLIA Cert. Type: Hospice
  • CLIA Exp. Date: 09-22-2027

About PRAIRIE GRACE HOSPICE LLC

This page provides the complete NPI Profile along with additional information for Prairie Grace Hospice Llc, a provider established in Mankato, Minnesota operating as a Hospice Care, Community Based. The healthcare provider is registered in the NPI registry with number 1962276238 assigned on November 2023. The practitioner's primary taxonomy code is 251G00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Mr. Chad Werth Rn (Administrator)

NPI
1962276238
Provider Name
PRAIRIE GRACE HOSPICE LLC
Entity Type
Organization
Location Address
1028 N RIVERFRONT DR MANKATO, MN 56001
Location Phone
(507) 821-0430
Location Fax
(507) 540-1275
Mailing Address
1028 N RIVERFRONT DR MANKATO, MN 56001
Mailing Phone
(507) 821-0430
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-08-2023
Last Update Date
03-13-2024
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Location Map

Secondary Locations

  • 1304 Birchwood Dr
    New Ulm, MN 56073
    (507) 359-3420
  • 1310 Bradford St SE
    Hutchinson, MN 55350
    (320) 587-5508
  • 1701 19th Ave SW
    Willmar, MN 56201
    (202) 356-0223
  • 1602 W Fountain St
    Albert Lea, MN 56007
    (507) 379-9000
  • 113 Ash Ave S
    New Richland, MN 56072
    (507) 463-3565
  • 706 6th Ave NE
    Isanti, MN 55040
    (763) 444-4626

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

Hospice Care, Community Based

Taxonomy Code
251G00000X
Type
Agencies

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

MR. CHAD WERTH RN

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(507) 720-8597

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
24D2290304
Facility Type
Hospice
Certificate Effective Date
September 23, 2025
Certificate Expiration Date
September 22, 2027
Laboratory Director
CAITLIN M. OELKE
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Prairie Grace Hospice Llc 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 1962276238, 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.

Pos 1
1
Doubled → 2
Pos 2
9
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
2
Unchanged
Pos 5
2
Doubled → 4
Pos 6
7
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
2
Unchanged
Pos 9
3
Doubled → 6
Check
8
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 6 → 12 → 3 2 → 4 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 + 1 + 2 + 2 + 4 + 7 + 1 + 2 + 2 + 6 + 24 = 62

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.

70 - 62 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1962276238.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962276238, enumerated as an "organization" on November 08, 2023.

The provider is located at 1028 N RIVERFRONT DR MANKATO, MN 56001 and the phone number is (507) 821-0430.

Hospice Care, Community Based with taxonomy code 251G00000X.