MOHAWK HEALTHY LIFE CENTER- DALLAS
NPI 1053744417
Non-Pharmacy Dispensing Site in Dallas, TX
NPI Status: Active since August 20, 2013
Contact Information
7834 C F HAWN FWY
DALLAS, TX
ZIP 75217
Phone: (214) 309-3438
- Organization
- Non-Pharmacy Dispensing Site
- Accepts Insurance
- CLIA Number: 45D2068347
- CLIA Cert. Type: Other - OUT PATIENT
- CLIA Exp. Date: 10-31-2027
About MOHAWK HEALTHY LIFE CENTER- DALLAS
This page provides the complete NPI Profile along with additional information for Mohawk Healthy Life Center- Dallas, a provider established in Dallas, Texas operating as a Non-pharmacy Dispensing Site. The healthcare provider is registered in the NPI registry with number 1053744417 assigned on August 2013. The practitioner's primary taxonomy code is 332900000X with license number F0848 (TX). The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's is doing business as Mohawk Healthy Life Center- Dallas. The authorized official of this NPI record is Kenny Heine (Vp Of Operations)
- NPI
- 1053744417
- Provider Legal Name
- EVERNORTH DIRECT HEALTH LLC
- Other Organization Name
- MOHAWK HEALTHY LIFE CENTER- DALLAS
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 7834 C F HAWN FWY DALLAS, TX 75217
- Location Phone
- (214) 309-3438
- Mailing Address
- 9276 SCRANTON RD SUITE 100 SAN DIEGO, CA 92121
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 08-20-2013
- Last Update Date
- 05-03-2021
- 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
Non-Pharmacy Dispensing Site
- Taxonomy Code
- 332900000X
- Type
- Suppliers
- License No.
- F0848
- License State
- TX
- Taxonomy Description
- 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.)
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Sanford Individual Simplicity $1,750 - PPO
- Sanford Individual Simplicity $10,600 - PPO
- Sanford Individual Simplicity $3,500 - PPO
- Sanford Individual Simplicity $4,750 - PPO
- Sanford Individual Simplicity $6,500 - PPO
- Sanford Individual Simplicity $7,200 HSA Qualified - PPO
- Sanford Individual Simplicity Standardized $2,000 - PPO
- Sanford Individual Simplicity Standardized $6,000 - PPO
- Sanford Individual Simplicity Standardized $7,500 - PPO
- Sanford Individual TRUE $1,750 - HMO
- Sanford Individual TRUE $10,600 - HMO
- Sanford Individual TRUE $3,500 - HMO
- Sanford Individual TRUE $4,750 - HMO
- Sanford Individual TRUE $6,500 - HMO
- Sanford Individual TRUE $7,200 HSA Qualified - HMO
- Sanford Individual TRUE Standardized $2,000 - HMO
- Sanford Individual TRUE Standardized $6,000 - HMO
- Sanford Individual TRUE Standardized $7,500 - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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
- 45D2068347
- Facility Type
- Other - OUT PATIENT
- Certificate Effective Date
- November 01, 2025
- Certificate Expiration Date
- October 31, 2027
- Laboratory Director
- CYNTHIA REYES
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Mohawk Healthy Life Center- Dallas 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 NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1053744417, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 53. The final step is to find the difference between that total and the next multiple of ten (60 - 53 = 7).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 53 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1053744417, enumerated as an "organization" on August 20, 2013.
The provider is located at 7834 C F HAWN FWY DALLAS, TX 75217 and the phone number is (214) 309-3438.
Non-Pharmacy Dispensing Site with taxonomy code 332900000X.
The provider might be accepting Accepts: Sanford Health Plan. Please consult your insurance carrier or call the provider to verify.
