EAST VALLEY ADDICTION RECOVERY CENTER (EVARC)
NPI 1639119068
Community/Behavioral Health in Mesa, AZ
NPI Status: Active since June 07, 2006
Contact Information
560 S BELLVIEW RM A
MESA, AZ
ZIP 85204
Phone: (480) 962-7711
Fax: (480) 844-8449
- Organization
- Community/Behavioral Health
- Accepts Insurance
About EAST VALLEY ADDICTION RECOVERY CENTER (EVARC)
This page provides the complete NPI Profile along with additional information for East Valley Addiction Recovery Center (evarc), a provider established in Mesa, Arizona operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1639119068 assigned on June 2006. The practitioner's primary taxonomy code is 251S00000X with license number OTC6336 (AZ). The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as East Valley Addiction Recovery Center (evarc). The authorized official of this NPI record is Mr. John F Hogeboom Lisac (President/ceo)
- NPI
- 1639119068
- Provider Legal Name
- COMMUNITY BRIDGES, INC.
- Other Organization Name
- EAST VALLEY ADDICTION RECOVERY CENTER (EVARC)
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 560 S BELLVIEW RM A MESA, AZ 85204
- Location Phone
- (480) 962-7711
- Location Fax
- (480) 844-8449
- Mailing Address
- 1855 W. BASELINE RD SUITE 101 MESA, AZ 85202
- Mailing Phone
- (480) 831-7566
- Mailing Fax
- (480) 844-8449
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-07-2006
- Last Update Date
- 02-14-2023
- 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
Community/Behavioral Health
- Taxonomy Code
- 251S00000X
- Type
- Agencies
- License No.
- OTC6336
- License State
- AZ
- 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.
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 | 251B00000X | Agencies | Case Management | OTC6336 (AZ) |
| 2 | 251J00000X | Agencies | Nursing Care | OTC6336 (AZ) |
| 3 | 261Q00000X | Ambulatory Health Care Facilities | Clinic/Center | |
| 4 | 261QH0100X | Ambulatory Health Care Facilities | Clinic/Center | OTC6336 (AZ) |
| 5 | 261QM0850X | Ambulatory Health Care Facilities | Clinic/Center | OTC6336 (AZ) |
| 6 | 261QR0405X | Ambulatory Health Care Facilities | Clinic/Center | OTC6336 (AZ) |
| 7 | 291U00000X | Laboratories | Clinical Medical Laboratory | OTC6336 (AZ) |
| 8 | 343900000X | Transportation Services | Non-emergency Medical Transport (VAN) | OTC6336 (AZ) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Clear Silver - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Silver - HMO
- Complete Silver + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Standard Expanded Bronze - HMO
- Standard Expanded Bronze + Vision + Adult Dental - HMO
- Standard Gold - HMO
- Standard Gold + Vision + Adult Dental - HMO
- Standard Silver - HMO
- Standard Silver + Vision + Adult Dental - HMO
- Blue ACA StandardHealth Silver with Health Choice - HMO
- Blue AdvanceHealth Bronze - Neighborhood Network - HMO
- Blue AdvanceHealth Bronze - PimaFocus Network - HMO
- Blue AdvanceHealth Gold - Neighborhood Network - HMO
- Blue AdvanceHealth Gold - PimaFocus Network - HMO
- Blue AdvanceHealth Silver - Neighborhood Network - HMO
- Blue AdvanceHealth Silver - PimaFocus Network - HMO
- Blue EverydayHealth Gold - Neighborhood Network - HMO
- Blue EverydayHealth Gold - PimaFocus Network - HMO
- Blue EverydayHealth Silver - Neighborhood Network - HMO
- Blue EverydayHealth Silver - PimaFocus Network - HMO
- Blue Portfolio HSA Bronze - Neighborhood Network - HMO
- Blue Portfolio HSA Bronze - PimaFocus Network - HMO
- Blue Portfolio HSA Gold - Statewide PPO Network - PPO
- Blue PPO PremierHealth Silver - Statewide PPO Network - PPO
- Blue PPO PremierHealth Gold - Statewide PPO Network - PPO
- Blue PPO StandardHealth Gold - Statewide PPO Network - PPO
- Blue PPO StandardHealth Silver - Statewide PPO Network - PPO
- Blue StandardHealth Bronze - Neighborhood Network - HMO
- Blue StandardHealth Bronze - PimaFocus Network - HMO
- Imperial Preferred Gold - HMO
- Imperial Preferred Silver - HMO
- Imperial Standard Bronze - HMO
- Imperial Standard Gold - HMO
- Imperial Standard Silver - 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.
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 |
|---|---|---|---|
| Z145163 | OTHER (01) | AZ | MEDICARE PTAN |
| 453702 | MEDICAID (05) | AZ |
Reviews for EAST VALLEY ADDICTION RECOVERY CENTER (EVARC)
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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 | 6 | 3 | 9 | 1 | 1 | 9 | 0 | 6 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 6 | 9 | 2 | 1 | 18 | 0 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 6 + 9 + 2 + 1 + 1 + 8 + 0 + 1 + 2 + 24 = 62 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 62 = 8 | 8 | ||||||||
The NPI number 1639119068 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1639119068, enumerated in the NPI registry as an "organization" on June 07, 2006
The provider is located at 560 S Bellview Rm A Mesa, Az 85204 and the phone number is (480) 962-7711
This medical organization specializes in Community/Behavioral Health with taxonomy code 251S00000X
The provider might be accepting Accepts: Ambetter from Arizona Complete Health, Blue Cross. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on June 07, 2006. 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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