MOHAWK HEALTHY LIFE CENTER- DALLAS
NPI 1053744417
Non-Pharmacy Dispensing Site in Dallas, TX

Active since August 20, 2013CLIA 45D2068347 · Waiver
7834 C F HAWN FWY, DALLAS, TX 75217(214) 309-3438 Get Directions Write a Review

NPPES record last updated: May 3, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 3, 2021, Dec 15, 2015 (2 updates tracked since 2015).

About Mohawk Healthy Life Center- Dallas NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MOHAWK HEALTHY LIFE CENTER- DALLAS (NPI 1053744417) is a healthcare organization registered as a non-pharmacy dispensing site in Dallas, Texas and active in the NPI registry since August 2013. The organization holds a CLIA Waiver certificate valid through October 31, 2027 and lists Kenny Heine, Vp Of Operations, as its authorized official.

NPPES Registry Identity

NPI1053744417
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameEVERNORTH DIRECT HEALTH LLC
Location Address7834 C F HAWN FWYDallas, TX 75217-6529
Mailing Address9276 Scranton Rd, Suite 100San Diego, CA 92121-7701
Organization SubpartYesParent: Medvantx, Inc
Authorized OfficialKenny HeineVp Of Operations · (858) 964-1506
Enumeration DateAugust 20, 2013
Last NPPES UpdateMay 3, 20212 updates tracked since enumeration
NPPES CertifiedMay 3, 2021
NPI 1053744417 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers
Taxonomy Code332900000X
License Licensed in TX · F0848
Definition

A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

7834 C F HAWN FWY, Dallas, TX 75217

Other Names 1

Doing Business AsMohawk Healthy Life Center- Dallas

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2068347

Healthy Life Center Dallas Dba Evernorth Direct Health, LLC · Dallas, TX
Active · expires Oct 31, 2027
CLIA Number45D2068347
Laboratory TypeOut Patient
Certificate Effective DateNovember 1, 2025
Certificate Expiration DateOctober 31, 2027
Laboratory DirectorCynthia Reyes
Laboratory Phone(480) 868-0646
Laboratory LocationHealthy Life Center Dallas Dba Evernorth Direct Health, LLC7834 C F Hawn Freeway, Dallas, TX 75217
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center
7834 C F HAWN FWY
DALLAS, TX 75217

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Evernorth Direct Health LLC's NPI number?

The NPI number for Evernorth Direct Health LLC is 1053744417. It was assigned to this organization in the NPPES registry on August 20, 2013. The provider is doing business as Mohawk Healthy Life Center- Dallas.

Where is Evernorth Direct Health LLC located?

Evernorth Direct Health LLC is located at 7834 C F Hawn Fwy, Dallas, TX 75217. The listed phone number is (214) 309-3438.

What is Evernorth Direct Health LLC's specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

Does Evernorth Direct Health LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2068347) is associated with this NPI, valid through October 31, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Evernorth Direct Health LLC accept?

Health plans from Sanford Health Plan list Evernorth Direct Health LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Evernorth Direct Health LLC was last updated on May 3, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.