FOX RIDGE BRYANT
NPI 1093168643
Assisted Living Facility in Bryant, AR

NPI Status: Active since July 19, 2016

Contact Information

4216 FOX RIDGE DR
BRYANT, AR
ZIP 72022
Phone: (501) 547-3400

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  • Organization
  • Assisted Living Facility
  • CLIA Number: 04D2309006
  • CLIA Cert. Type: Assisted Living Facility
  • CLIA Exp. Date: 08-07-2026

About FOX RIDGE BRYANT

This page provides the complete NPI Profile along with additional information for Fox Ridge Bryant, a provider established in Bryant, Arkansas operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1093168643 assigned on July 2016. The practitioner's primary taxonomy code is 310400000X. The provider is registered as an organization and their NPI record was last updated 10 years ago. The provider's is doing business as Fox Ridge Bryant. The authorized official of this NPI record is Jesse Galloway (Authorized Official)

NPI
1093168643
Provider Legal Name
ARHC FRBRYAR01 TRS LLC
Other Organization Name
FOX RIDGE BRYANT
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
4216 FOX RIDGE DR BRYANT, AR 72022
Location Phone
(501) 547-3400
Mailing Address
PO BOX 13267 MAUMELLE, AR 72113
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-19-2016
Last Update Date
07-19-2016
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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

Assisted Living Facility

Taxonomy Code
310400000X
Type
Nursing & Custodial Care Facilities
Taxonomy Description
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

Insurance Plans Accepted

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

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.

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

JESSE GALLOWAY

Authorized Official Title
AUTHORIZED OFFICIAL
Authorized Official Phone
(212) 415-6500

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
213923794MEDICAID (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
04D2309006
Facility Type
Assisted Living Facility
Certificate Effective Date
August 08, 2024
Certificate Expiration Date
August 07, 2026
Laboratory Director
JEFFERY WRIGHT
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Fox Ridge Bryant 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 1093168643, we treat the final digit (3) 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 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).

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.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
3
Unchanged
Pos 5
1
Doubled → 2
Pos 6
6
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
6
Unchanged
Pos 9
4
Doubled → 8
Check
3
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 9 → 18 → 9 1 → 2 8 → 16 → 7 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 1 + 8 + 3 + 2 + 6 + 1 + 6 + 6 + 8 + 24 = 67

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 67 is 70. The difference is the calculated check digit.

70 - 67 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1093168643.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Assisted Living Facility
4216 FOX RIDGE DR
BENTON, AR 72022
Nurse Practitioner (Family)
4216 FOX RIDGE DR
BRYANT, AR 72022
Assisted Living Facility
4216 FOX RIDGE DR
BRYANT, AR 72022

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1093168643, enumerated as an "organization" on July 19, 2016.

The provider is located at 4216 FOX RIDGE DR BRYANT, AR 72022 and the phone number is (501) 547-3400.

Assisted Living Facility with taxonomy code 310400000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.