MGA HOME HEALTHCARE FAYETTEVILLE, LLC
NPI 1518613330
Nursing Care in Fayetteville, NC

NPI Status: Active since March 02, 2022

Contact Information

3400 WALSH PKWY STE 248
FAYETTEVILLE, NC
ZIP 28311
Phone: (910) 839-0239
Fax: (910) 900-0915

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  • Organization
  • Nursing Care
  • Accepts Insurance
  • CLIA Number: 34D2254050
  • CLIA Cert. Type: Home Health Agency
  • CLIA Exp. Date: 02-27-2026

About MGA HOME HEALTHCARE FAYETTEVILLE, LLC

This page provides the complete NPI Profile along with additional information for Mga Home Healthcare Fayetteville, Llc, a provider established in Fayetteville, North Carolina operating as a Nursing Care. The healthcare provider is registered in the NPI registry with number 1518613330 assigned on March 2022. The practitioner's primary taxonomy code is 251J00000X. 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 Wendy Chavez Msn, Rn (Vp, Operations)

NPI
1518613330
Provider Name
MGA HOME HEALTHCARE FAYETTEVILLE, LLC
Entity Type
Organization
Location Address
3400 WALSH PKWY STE 248 FAYETTEVILLE, NC 28311
Location Phone
(910) 839-0239
Location Fax
(910) 900-0915
Mailing Address
3400 WALSH PKWY STE 248 FAYETTEVILLE, NC 28311
Mailing Phone
(910) 839-0239
Mailing Fax
(910) 900-0915
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-02-2022
Last Update Date
03-02-2022
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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

Nursing Care

Taxonomy Code
251J00000X
Type
Agencies
Taxonomy Description
A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Connect Bronze 5500 Indiv Med Deductible - HMO
  • Connect Bronze 6500 Indiv Med Deductible - HMO
  • Connect Bronze CMS Standard - HMO
  • Connect Gold CMS Standard - HMO
  • Connect Silver 3500 Indiv Med Deductible - HMO
  • Connect Silver 4400 Indiv Med Deductible - HMO
  • Connect Silver CMS Standard - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

WENDY CHAVEZ MSN, RN

Authorized Official Title
VP, OPERATIONS
Authorized Official Phone
(910) 839-0239

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
HC6297MEDICAID (05)NC 

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
34D2254050
Facility Type
Home Health Agency
Certificate Effective Date
February 29, 2024
Certificate Expiration Date
February 27, 2026
Laboratory Director
MARIEANG ARTHUR
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Mga Home Healthcare Fayetteville, 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.

Reviews for MGA HOME HEALTHCARE FAYETTEVILLE, LLC

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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.
1518613330
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2528121636
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 2 + 8 + 1 + 2 + 1 + 6 + 3 + 6 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1518613330 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1033997465MGA BEHAVIOR THERAPY LLC
Organization
Community/Behavioral Health3400 WALSH PKWY STE 248
FAYETTEVILLE, NC 28311
(910) 839-0239

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1518613330, enumerated in the NPI registry as an "organization" on March 02, 2022

The provider is located at 3400 Walsh Pkwy Ste 248 Fayetteville, Nc 28311 and the phone number is (910) 839-0239

This medical organization specializes in Nursing Care with taxonomy code 251J00000X

The provider might be accepting Accepts: Cigna Healthcare, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 34D2254050 for a "home health agency" 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 March 02, 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.