NBH JACKSON ST LLC
NPI 1962379933
Substance Abuse Rehabilitation Facility in Saint Paul, MN

NPI Status: Active since October 22, 2025

Contact Information

1609 JACKSON ST
SAINT PAUL, MN
ZIP 55117
Phone: (651) 487-4987

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  • Organization
  • Substance Abuse Rehabilitation Facility

About NBH JACKSON ST LLC

This page provides the complete NPI Profile along with additional information for Nbh Jackson St Llc, a provider established in Saint Paul, Minnesota operating as a Substance Abuse Rehabilitation Facility. The healthcare provider is registered in the NPI registry with number 1962379933 assigned on October 2025. The practitioner's primary taxonomy code is 324500000X. 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 Mark Weldler (Ceo)

NPI
1962379933
Provider Name
NBH JACKSON ST LLC
Entity Type
Organization
Location Address
1609 JACKSON ST SAINT PAUL, MN 55117
Location Phone
(651) 487-4987
Mailing Address
2345 ARIEL ST N MAPLEWOOD, MN 55109
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-22-2025
Last Update Date
10-22-2025
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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

Taxonomy Code
324500000X
Type
Residential Treatment Facilities
Taxonomy Description
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

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

MARK WELDLER

Authorized Official Title
CEO
Authorized Official Phone
(773) 919-9351

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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 1962379933, we treat the final digit (3) 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 77. The final step is to find the difference between that total and the next multiple of ten (80 - 77 = 3).

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
3
Doubled → 6
Pos 6
7
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
9
Unchanged
Pos 9
3
Doubled → 6
Check
3
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 3 → 6 9 → 18 → 9 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 + 6 + 7 + 1 + 8 + 9 + 6 + 24 = 77

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

The next multiple of ten after 77 is 80. The difference is the calculated check digit.

80 - 77 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1962379933.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Counselor (Addiction (Substance Use Disorder))
1609 JACKSON ST
SAINT PAUL, MN 55117
Substance Abuse Rehabilitation Facility
1609 JACKSON ST
SAINT PAUL, MN 55117

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962379933, enumerated as an "organization" on October 22, 2025.

The provider is located at 1609 JACKSON ST SAINT PAUL, MN 55117 and the phone number is (651) 487-4987.

Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.