VISIT HEALTHCARE
NPI 1215642079
Community/Behavioral Health in Conway, AR

NPI Status: Active since January 17, 2023

Contact Information

3025 FOUNTAIN DR
CONWAY, AR
ZIP 72034
Phone: (501) 215-7331

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  • Organization
  • Community/Behavioral Health
  • CLIA Number: 04D2282724
  • CLIA Cert. Type: Independent
  • CLIA Exp. Date: 05-24-2025

About VISIT HEALTHCARE

This page provides the complete NPI Profile along with additional information for Visit Healthcare, a provider established in Conway, Arkansas operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1215642079 assigned on January 2023. The practitioner's primary taxonomy code is 251S00000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Benjamin Fanger (Chairman Of Board)

NPI
1215642079
Provider Name
VISIT HEALTHCARE
Entity Type
Organization
Location Address
3025 FOUNTAIN DR CONWAY, AR 72034
Location Phone
(501) 215-7331
Mailing Address
20 S SANTA CRUZ AVE STE 300 LOS GATOS, CA 95030
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-17-2023
Last Update Date
01-17-2023
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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

Community/Behavioral Health

Taxonomy Code
251S00000X
Type
Agencies
Taxonomy Description
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

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

BENJAMIN FANGER

Authorized Official Title
CHAIRMAN OF BOARD
Authorized Official Phone
(408) 890-6648

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
04D2282724
Facility Type
Independent
Certificate Effective Date
May 25, 2023
Certificate Expiration Date
May 24, 2025
Laboratory Director
ANGELA CAMPAGNA
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Visit Healthcare 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 VISIT HEALTHCARE

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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.
1215642079
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22251244014
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 2 + 5 + 1 + 2 + 4 + 4 + 0 + 1 + 4 + 24 = 51
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 51 = 99

The NPI number 1215642079 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1700863891 DAVID A MARTIN MD
Individual
Family Medicine3025 FOUNTAIN DR SUITE 100
CONWAY, AR 72034
(501) 932-5060
1578534012 KRISTY M ROBERTS DO
Individual
Family Medicine3025 FOUNTAIN DR SUITE 100
CONWAY, AR 72034
(501) 932-5060
1992125595 JENNIFER ELAINE COX FNP
Individual
Nurse Practitioner (Family)3025 FOUNTAIN DR SUITE 100
CONWAY, AR 72034
(501) 932-5060
1689887960JAVED K SHINWARI, MD,PA
Organization
Specialist3025 FOUNTAIN DR SUITE 100
CONWAY, AR 72034
(501) 329-1700
1346921822 MICHELLE O'CONNER
Individual
Counselor (Addiction (Substance Use Disorder))3025 FOUNTAIN DR
CONWAY, AR 72034
(866) 888-4003

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1215642079, enumerated in the NPI registry as an "organization" on January 17, 2023

The provider is located at 3025 Fountain Dr Conway, Ar 72034 and the phone number is (501) 215-7331

This medical organization specializes in Community/Behavioral Health with taxonomy code 251S00000X

The provider's CLIA number is 04D2282724 for a "independent" 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 January 17, 2023. 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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