MGA HOME HEALTHCARE FAYETTEVILLE, LLC
NPI 1639825458
Nursing Care in Winston-salem, NC
NPI Status: Active since March 02, 2022
Contact Information
1100 SOUTH STRATFORD RD
BLDG C SUITE 301
WINSTON-SALEM, NC
ZIP 27103
Phone: (336) 280-0435
Fax: (336) 217-8746
- Organization
- Nursing Care
- Accepts Insurance
- CLIA Number: 34D2236665
- CLIA Cert. Type: Home Health Agency
- CLIA Exp. Date: 09-19-2025
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 Winston-salem, North Carolina operating as a Nursing Care. The healthcare provider is registered in the NPI registry with number 1639825458 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
- 1639825458
- Provider Name
- MGA HOME HEALTHCARE FAYETTEVILLE, LLC
- Entity Type
- Organization
- Location Address
- 1100 SOUTH STRATFORD RD BLDG C SUITE 301 WINSTON-SALEM, NC 27103
- Location Phone
- (336) 280-0435
- Location Fax
- (336) 217-8746
- Mailing Address
- 1100 SOUTH STRATFORD RD BLDG C SUITE 301 WINSTON-SALEM, NC 27103
- Mailing Phone
- (336) 280-0435
- Mailing Fax
- (336) 217-8746
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-02-2022
- Last Update Date
- 03-02-2022
- 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
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.
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 |
|---|---|---|---|
| HC6067 | MEDICAID (05) | NC | |
| HC6135 | MEDICAID (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
- 34D2236665
- Facility Type
- Home Health Agency
- Certificate Effective Date
- September 20, 2023
- Certificate Expiration Date
- September 19, 2025
- Laboratory Director
- ERIN WHITEHEAD
- 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.
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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 | 8 | 2 | 5 | 4 | 5 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 6 | 9 | 16 | 2 | 10 | 4 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 6 + 9 + 1 + 6 + 2 + 1 + 0 + 4 + 1 + 0 + 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 1639825458 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 1639825458, enumerated in the NPI registry as an "organization" on March 02, 2022
The provider is located at 1100 South Stratford Rd Bldg C Suite 301 Winston-salem, Nc 27103 and the phone number is (336) 280-0435
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 34D2236665 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].
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