FOCUSED ADDICTION RECOVERY LLC
NPI 1053052134
Clinic/Center - Rehabilitation, Substance Use Disorder in Wallace, NC
NPI Status: Active since April 05, 2022
- Organization
- Clinic/Center
- Rehabilitation, Substance Use Disorder
- Accepts Insurance
- CLIA Number: 34D2276085
- CLIA Cert. Type: Comp. Outpatient Rehab Facility
- CLIA Exp. Date: 02-01-2027
About FOCUSED ADDICTION RECOVERY LLC
This page provides the complete NPI Profile along with additional information for Focused Addiction Recovery Llc, a provider established in Wallace, North Carolina operating as a Clinic/center, focusing in rehabilitation, substance use disorder . The healthcare provider is registered in the NPI registry with number 1053052134 assigned on April 2022. The practitioner's primary taxonomy code is 261QR0405X. The provider is registered as an organization and their NPI record was last updated one year ago. Focused Addiction Recovery Llc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Mr. Thomas Andrew Ference Jr. (Ceo)
- NPI
- 1053052134
- Provider Name
- FOCUSED ADDICTION RECOVERY LLC
- Entity Type
- Organization
- Location Address
- 102 W MAIN ST WALLACE, NC 28466
- Location Phone
- (630) 334-2019
- Mailing Address
- 102 W MAIN ST WALLACE, NC 28466
- Mailing Phone
- (630) 334-2019
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-05-2022
- Last Update Date
- 08-30-2024
- 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
Clinic/Center Rehabilitation, Substance Use Disorder
- Taxonomy Code
- 261QR0405X
- Type
- Ambulatory Health Care Facilities
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) |
|---|---|---|---|---|
| 1 | 101YA0400X | Behavioral Health & Social Service Providers | Counselor | |
| 2 | 101YM0800X | Behavioral Health & Social Service Providers | Counselor | |
| 3 | 207QA0401X | Allopathic & Osteopathic Physicians | Family Medicine | |
| 4 | 207RA0401X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 5 | 2083A0300X | Allopathic & Osteopathic Physicians | Preventive Medicine | |
| 6 | 2084A0401X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | |
| 7 | 251S00000X | Agencies | Community/Behavioral Health | |
| 8 | 261QM0801X | Ambulatory Health Care Facilities | Clinic/Center | |
| 9 | 261QM0850X | Ambulatory Health Care Facilities | Clinic/Center | |
| 10 | 324500000X | Residential Treatment Facilities | Substance Abuse Rehabilitation Facility | |
| 11 | 343900000X | Transportation Services | Non-emergency Medical Transport (VAN) |
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:
- Blue Advantage Bronze Basic | 3 Free PCP | $20 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
- Blue Advantage Bronze Complete | $60 PCP | $20 Tier 1 Rx | Nationwide Doctors - PPO
- Blue Advantage Bronze Standard | Nationwide Doctors - PPO
- Blue Advantage Gold Premier | 3 Free PCP | $10 Tier 1 Rx | Nationwide Doctors - PPO
- Blue Advantage Gold Standard | Nationwide Doctors - PPO
- Blue Advantage Silver Choice | 3 Free PCP | $15 Tier 1 Rx | Nationwide Doctors - PPO
- Blue Advantage Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
- Blue Advantage Silver Standard | Nationwide Doctors - PPO
- Blue Care Bronze Standard | Statewide Doctors - HMO
- Blue Care Gold Standard | Statewide Doctors - HMO
- Blue Care Silver Standard | Statewide Doctors - HMO
- Blue Value Bronze Basic | 3 Free PCP | $20 Tier 1 Rx | Integrated | Limited Statewide Doctors - POS
- Blue Value Bronze Complete | $60 PCP | $20 Tier 1 Rx | Limited Statewide Doctors - POS
- Blue Value Bronze Standard | Limited Statewide Doctors - POS
- Blue Value Gold Premier | 3 Free PCP | $10 Tier 1 Rx | Limited Statewide Doctors - POS
- Blue Value Gold Standard | Limited Statewide Doctors - POS
- Blue Value Silver Choice | 3 Free PCP | $15 Tier 1 Rx | Limited Statewide Doctors - POS
- Blue Value Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Limited Statewide Doctors - POS
- Blue Value Silver Standard | Limited Statewide Doctors - POS
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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
- 34D2276085
- Facility Type
- Comp. Outpatient Rehab Facility
- Certificate Effective Date
- February 02, 2025
- Certificate Expiration Date
- February 01, 2027
- Laboratory Director
- CHARLES A. LEWIS
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Focused Addiction Recovery 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 Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 5 | 3 | 0 | 5 | 2 | 1 | 3 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 10 | 3 | 0 | 5 | 4 | 1 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 1 + 0 + 3 + 0 + 5 + 4 + 1 + 6 + 24 = 46 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 46 = 4 | 4 | ||||||||
The NPI number 1053052134 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 3 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1114789666 | FOCUSED ADDICTION RECOVERY LLC Organization | Counselor (Addiction (Substance Use Disorder)) | 102 W MAIN ST WALLACE, NC 28466 (910) 788-4242 |
| 1699169748 | CHARLES ANDREW LEWIS II M.D. Individual | Family Medicine | 102 W MAIN ST WALLACE, NC 28466 (910) 659-3816 |
| 1790019800 | CHARLES EDWARD WALTON II PA Individual | Physician Assistant | 102 W MAIN ST WALLACE, NC 28466 (910) 788-4242 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1053052134, enumerated in the NPI registry as an "organization" on April 05, 2022
The provider is located at 102 W Main St Wallace, Nc 28466 and the phone number is (630) 334-2019
This medical organization specializes in Clinic/Center with taxonomy code 261QR0405X with a focus in Rehabilitation, Substance Use Disorder
The provider might be accepting Accepts: Blue Cross and Blue Shield of NC. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 34D2276085 for a "comp. outpatient rehab facility" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued 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..
This NPI record was last updated on April 05, 2022. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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