ACQUA RECOVERY LLC
NPI 1932595899
Clinic/Center - Rehabilitation, Substance Use Disorder in Midway, UT

NPI Status: Active since April 07, 2015

Contact Information

100 N JOHNSON MILL RD
MIDWAY, UT
ZIP 84049
Phone: (954) 678-0078

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  • Organization
  • Clinic/Center
  • Rehabilitation, Substance Use Disorder
  • Accepts Insurance
  • CLIA Number: 46D2092398
  • CLIA Cert. Type: Other - RESIDENTIAL TREATMENT CEN
  • CLIA Exp. Date: 03-03-2025

About ACQUA RECOVERY LLC

This page provides the complete NPI Profile along with additional information for Acqua Recovery Llc, a provider established in Midway, Utah operating as a Clinic/center, focusing in rehabilitation, substance use disorder . The healthcare provider is registered in the NPI registry with number 1932595899 assigned on April 2015. The practitioner's primary taxonomy code is 261QR0405X with license number 13414 (UT). The provider is registered as an organization and their NPI record was last updated 10 years ago. The authorized official of this NPI record is Mr. Clint Tolman (Director)

NPI
1932595899
Provider Name
ACQUA RECOVERY LLC
Entity Type
Organization
Location Address
100 N JOHNSON MILL RD MIDWAY, UT 84049
Location Phone
(954) 678-0078
Mailing Address
1031 S DOUGLAS ST SALT LAKE CITY, UT 84105
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-07-2015
Last Update Date
04-07-2015
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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

Clinic/Center Rehabilitation, Substance Use Disorder

Taxonomy Code
261QR0405X
Type
Ambulatory Health Care Facilities
License No.
13414
License State
UT

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)
1261QR0405XAmbulatory Health Care Facilities

Clinic/Center
Rehabilitation, Substance Use Disorder

13415 (UT)
2324500000XResidential Treatment Facilities

Substance Abuse Rehabilitation Facility

10218 (UT)

Insurance Plans Accepted

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

  • Connect Bronze Expanded Standard - PPO
  • Connect Bronze HDHP - PPO
  • Connect Catastrophic - PPO
  • Connect Gold - PPO
  • Connect Gold Standard - PPO
  • Connect Silver - PPO
  • Connect Silver Standard - PPO
  • High Plains Bronze HDHP - PPO
  • High Plains Bronze Standard Expanded - PPO
  • High Plains Gold - PPO
  • High Plains Gold HDHP - PPO
  • High Plains Gold Standard - PPO
  • High Plains Silver - PPO
  • High Plains Silver Standard - PPO
  • Plus Bronze Expanded - PPO
  • Plus Bronze Standard Expanded - PPO
  • Plus Gold - PPO
  • Plus Gold Standard - PPO
  • Plus Silver Standard - PPO
  • ACCESS BRONZE - PPO
  • Healthy Premier Bronze HSA - EPO
  • Healthy Premier Expanded Bronze Standard - EPO
  • Healthy Premier Gold Copay - EPO
  • Healthy Premier Gold Standard - EPO
  • Healthy Premier Silver Copay - EPO
  • Healthy Premier Silver Standard - EPO

*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

MR. CLINT TOLMAN

Authorized Official Title
DIRECTOR
Authorized Official Phone
(954) 678-0078

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
46D2092398
Facility Type
Other - RESIDENTIAL TREATMENT CEN
Certificate Effective Date
March 04, 2023
Certificate Expiration Date
March 03, 2025
Laboratory Director
DANIEL J. PICKRELL
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Acqua Recovery 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 ACQUA RECOVERY 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.
1932595899
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
296210910818
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 6 + 2 + 1 + 0 + 9 + 1 + 0 + 8 + 1 + 8 + 24 = 71
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 71 = 99

The NPI number 1932595899 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 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1033373865DR. TERRELL LEE SELLERS M.D
Individual
Family Medicine (Addiction Medicine)100 N JOHNSON MILL RD
MIDWAY, UT 84049
(435) 654-3700
1427580448ACQUA MEDICAL LLC
Organization
Family Medicine (Addiction Medicine)100 N JOHNSON MILL RD
MIDWAY, UT 84049
(844) 654-3700
1023204427MS. GLORIA E ANDERSON LMHC, LCAP, CMHC
Individual
Counselor (Mental Health)100 N JOHNSON MILL RD
MIDWAY, UT 84049
(813) 944-0376

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1932595899, enumerated in the NPI registry as an "organization" on April 07, 2015

The provider is located at 100 N Johnson Mill Rd Midway, Ut 84049 and the phone number is (954) 678-0078

This medical organization specializes in Clinic/Center with taxonomy code 261QR0405X with a focus in Rehabilitation, Substance Use Disorder

The provider might be accepting Accepts: Mountain Health CO-OP and University of Utah. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 46D2092398 for a "other - residential treatment cen" 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 April 07, 2015. 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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