HARBOR HOUSE, INCORPORATED
NPI 1922166123
Substance Abuse Rehabilitation Facility in Fort Smith, AR
NPI Status: Active since December 04, 2006
Contact Information
615 N 19TH ST
FORT SMITH, AR
ZIP 72901
Phone: (479) 785-4083
Fax: (479) 668-2059
- Organization
- Substance Abuse Rehabilitation Facility
- Accepts Insurance
- CLIA Number: 04D2019190
- CLIA Cert. Type: Other - DRUG TREATMENT
- CLIA Exp. Date: 01-24-2027
About HARBOR HOUSE, INCORPORATED
This page provides the complete NPI Profile along with additional information for Harbor House, Incorporated, a provider established in Fort Smith, Arkansas operating as a Substance Abuse Rehabilitation Facility. The healthcare provider is registered in the NPI registry with number 1922166123 assigned on December 2006. The practitioner's primary taxonomy code is 324500000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Harbor House, Incorporated. The authorized official of this NPI record is Mrs. Ranee Lewis (Office Manager)
- NPI
- 1922166123
- Provider Legal Name
- HARBOR HOUSE INCORPORATED OF FORT SMITH ARKANSAS
- Other Organization Name
- HARBOR HOUSE, INCORPORATED
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 615 N 19TH ST FORT SMITH, AR 72901
- Location Phone
- (479) 785-4083
- Location Fax
- (479) 668-2059
- Mailing Address
- PO BOX 4207 FORT SMITH, AR 72914
- Mailing Phone
- (479) 785-4083
- Mailing Fax
- (479) 668-2059
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-04-2006
- Last Update Date
- 09-27-2023
- Code Navigator
Location Map
Secondary Locations
- 3700 W 65th St
Little Rock, AR 72209
(479) 785-4083 - 302 E Roosevelt Rd
Little Rock, AR 72206
(479) 785-4083 - 2001 Pershing Cir
North Little Rock, AR 72114
(479) 785-4083 - 220 W Commercial St Ste B
Ozark, AR 72949
(479) 214-0050 - 1200 W Walnut St Ste 2A
Rogers, AR 72756
(479) 263-5680 - 604 Walnut St
Texarkana, AR 71854
(870) 331-0732 - 228 W Tyler Ave
West Memphis, AR 72301
(870) 635-0369 - 605 Alma Blvd.
van buren, AR 72956
(479) 353-2808 - 615 N 19th St
Fort Smith, AR 72901
(479) 785-4083 - 812 Mountain Pine Rd
Hot Springs, AR 71913
(479) 785-4083 - 130 N College Ave
Fayetteville, AR 72701
(479) 263-5680 - 511 Union St Ste 230
Jonesboro, AR 72401
(870) 316-6202 - 615 W Grand Ave Ste A
Hot Springs, AR 71901
(501) 625-2383 - 702 E 4th St
Russellville, AR 72801
(479) 518-6028 - 3900 Armour Ave
Fort Smith, AR 72904
(479) 785-4083 - 3811 Rogers Ave
Fort Smith, AR 72903
(479) 785-4083 - 1055 Sunflower Dr
Conway, AR 72034
(479) 785-4083 - 900 Quail Run Dr
Mulberry, AR 72947
(479) 785-4083
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
Substance Abuse Rehabilitation Facility
- Taxonomy Code
- 324500000X
- Type
- Residential Treatment Facilities
- Taxonomy Description
- A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
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 | 1041C0700X | Behavioral Health & Social Service Providers | Social Worker |
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
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 (QualChoice) - POS
- Complete Gold - PPO
- Complete Gold + Vision + Adult Dental - PPO
- Complete Silver (QualChoice) - POS
- Connected Silver - PPO
- Connected Silver (QualChoice) - POS
- Connected Silver (QualChoiceLife) - PPO
- Connected Silver + Vision + Adult Dental - PPO
- Elite Bronze - PPO
- Elite Bronze + Vision + Adult Dental - PPO
- Elite Gold (QualChoice) - POS
- Elite Gold (QualChoiceLife) - PPO
- Everyday Bronze - PPO
- Everyday Bronze + Vision + Adult Dental - PPO
- Everyday Gold - PPO
- Everyday Gold + Vision + Adult Dental - PPO
- Everyday Silver (QualChoiceLife) - PPO
- Focused Silver - PPO
- Focused Silver + Vision + Adult Dental - PPO
- Standard Expanded Bronze - PPO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Complete Silver - EPO
- Complete Silver + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Everyday Gold + Vision + Adult Dental - EPO
- Premier Silver - EPO
- Premier Silver + Vision + Adult Dental - EPO
- Standard Expanded Bronze - EPO
- Standard Expanded Bronze + Vision + Adult Dental - EPO
- Standard Gold - EPO
- Standard Gold + Vision + Adult Dental - EPO
- Standard Silver - EPO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Elite Silver - EPO
- Elite Silver + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Focused Silver - EPO
- Focused Silver + Vision + Adult Dental - EPO
- Standard Expanded Bronze - EPO
- Standard Expanded Bronze + Vision + Adult Dental - EPO
- Standard Gold - EPO
- Standard Gold + Vision + Adult Dental - EPO
- Standard Silver - EPO
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Silver - HMO
- Complete Silver + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Focused Silver + 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
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Complete Silver - EPO
- Complete Silver + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Everyday Gold + Vision + Adult Dental - EPO
- Focused Silver - EPO
- Focused Silver + Vision + Adult Dental - EPO
- Standard Gold - EPO
- Standard Gold + Vision + Adult Dental - EPO
- Standard Silver - EPO
- Elite Bronze - PPO
- Elite Bronze + Vision + Adult Dental - PPO
- Elite Gold - PPO
- Elite Gold + Vision + Adult Dental - PPO
- Everyday Bronze - PPO
- Everyday Bronze + Vision + Adult Dental - PPO
- Everyday Gold - PPO
- Everyday Gold + Vision + Adult Dental - PPO
- Focused Silver - PPO
- Focused Silver + Vision + Adult Dental - PPO
- Standard Expanded Bronze - PPO
- Standard Expanded Bronze + Vision + Adult Dental - PPO
- Standard Gold - PPO
- Standard Gold + Vision + Adult Dental - PPO
- Standard Silver - PPO
- Clear Silver - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Enhanced Diabetes Care Silver with $0 Drug Options - EPO
- Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Everyday Gold + Vision + Adult Dental - EPO
- Focused Silver - EPO
- Focused Silver + Vision + Adult Dental - EPO
- Standard Expanded Bronze - EPO
- Standard Expanded Bronze + Vision + Adult Dental - EPO
- Standard Gold - EPO
- Standard Gold + Vision + Adult Dental - EPO
- Standard Silver - EPO
- Standard Silver + Vision + Adult Dental - EPO
- Bronze Exp Standardized - PPO
- Bronze Value - PPO
- Gold Standardized - PPO
- Silver AH - PPO
- Silver Standardized - PPO
- Silver Value - PPO
- Dental Gold - PPO
- Dental Gold Plus Vision - PPO
- Dental Pediatric - PPO
- Dental Platinum - PPO
- Dental Platinum Plus Vision - PPO
- Dental Platinum Premium - PPO
- Dental Platinum Premium Plus Vision - PPO
- Dental Silver - PPO
- HA Bronze Exp Standardized - POS
- HA Bronze Suitcase - POS
- HA Gold Standardized - POS
- HA Silver AH - POS
- HA Silver Premier Suitcase - POS
- HA Silver Standardized - POS
- Octave Bronze Exp Standardized - POS
- Octave Bronze Value - POS
- Octave Gold Standardized - POS
- Octave Silver AH - POS
- Octave Silver Classic Suitcase - POS
- Octave Silver Standardized - POS
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 |
|---|---|---|---|
| 236252526 | MEDICAID (05) | AR | |
| 239197526 | MEDICAID (05) | AR |
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
- 04D2019190
- Facility Type
- Other - DRUG TREATMENT
- Certificate Effective Date
- January 25, 2025
- Certificate Expiration Date
- January 24, 2027
- Laboratory Director
- JIMMIE A. WOODING
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Harbor House, Incorporated 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 HARBOR HOUSE, INCORPORATED
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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 | 9 | 2 | 2 | 1 | 6 | 6 | 1 | 2 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 9 | 4 | 2 | 2 | 6 | 12 | 1 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 9 + 4 + 2 + 2 + 6 + 1 + 2 + 1 + 4 + 24 = 57 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 57 = 3 | 3 | ||||||||
The NPI number 1922166123 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 17 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1952508988 | JIMMIE ANNETTE WOODING LCSW Individual | Social Worker (Clinical) | 615 N 19TH ST FORT SMITH, AR 72901 (479) 785-4083 |
| 1962801118 | MARIA TORRES BA, CIT, RAD Individual | Counselor (Mental Health) | 615 N 19TH ST FORT SMITH, AR 72901 (479) 785-4083 |
| 1255730412 | TERRY GARDNER RDS, CIT, Individual | Counselor (Addiction (Substance Use Disorder)) | 615 N 19TH ST FORT SMITH, AR 72901 (479) 785-4083 |
| 1972902070 | NEAL MYERS RDS, CIT, Individual | Counselor (Addiction (Substance Use Disorder)) | 615 N 19TH ST FORT SMITH, AR 72901 (479) 785-4083 |
| 1033504956 | TYLER LIMORE CIT, RDS Individual | Counselor (Addiction (Substance Use Disorder)) | 615 N 19TH ST FORT SMITH, AR 72901 (479) 785-4083 |
| 1902292568 | JEREMY DIAZ RDS Individual | Counselor (Addiction (Substance Use Disorder)) | 615 N 19TH ST FORT SMITH, AR 72901 (479) 785-4083 |
| 1497130538 | WILLIAM L HEATON RDS Individual | Counselor | 615 N 19TH ST FORT SMITH, AR 72901 (479) 785-4083 |
| 1295111953 | PHILISHA NORRIED CIT, RDS, BA Individual | Counselor | 615 N 19TH ST FORT SMITH, AR 72901 (479) 785-4083 |
| 1093342974 | MICHAEL HOWARD CIT, RDS Individual | Counselor (Mental Health) | 615 N 19TH ST FORT SMITH, AR 72901 (479) 785-4083 |
| 1801423785 | NICHOLAS PAGE BA, ADC, RDC Individual | Counselor (Addiction (Substance Use Disorder)) | 615 N 19TH ST FORT SMITH, AR 72901 (479) 785-4083 |
| 1871120550 | CHRISTOPHER GONZALEZ CIT, RDS Individual | Counselor (Mental Health) | 615 N 19TH ST FORT SMITH, AR 72901 (479) 785-4083 |
| 1255968947 | VINCENT SCOTT BA, CIT, RDS Individual | Counselor (Mental Health) | 615 N 19TH ST FORT SMITH, AR 72901 (479) 785-4083 |
| 1154958841 | DAVID ALLEN CIT, RDS Individual | Counselor (Mental Health) | 615 N 19TH ST FORT SMITH, AR 72901 (479) 785-4083 |
| 1164843017 | KIRK DUBOISE Individual | Counselor (Addiction (Substance Use Disorder)) | 615 N 19TH ST FORT SMITH, AR 72901 (479) 785-4083 |
| 1447671391 | JOHN LANE Individual | Counselor (Addiction (Substance Use Disorder)) | 615 N 19TH ST FORT SMITH, AR 72901 (479) 785-4083 |
| 1275954091 | CHRIS KELLER IADC, RDS Individual | Counselor (Addiction (Substance Use Disorder)) | 615 N 19TH ST FORT SMITH, AR 72901 (479) 785-4083 |
| 1740601301 | ROBERT LOVELL IADC, RDS, TTS Individual | Counselor (Addiction (Substance Use Disorder)) | 615 N 19TH ST FORT SMITH, AR 72901 (479) 785-4083 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1922166123, enumerated in the NPI registry as an "organization" on December 04, 2006
The provider is located at 615 N 19th St Fort Smith, Ar 72901 and the phone number is (479) 785-4083
This medical organization specializes in Substance Abuse Rehabilitation Facility with taxonomy code 324500000X
The provider might be accepting Accepts: Ambetter from Arkansas Health & Wellness, Ambetter. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 04D2019190 for a "other - drug treatment" 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 December 04, 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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