AVID HEALTH AT HOME NC
NPI 1225279508
In Home Supportive Care in Fayetteville, NC
NPI Status: Active since March 16, 2009
Contact Information
2850 VILLAGE DR STE 204
FAYETTEVILLE, NC
ZIP 28304
Phone: (910) 500-1629
Fax: (901) 500-9282
- Organization
- In Home Supportive Care
- CLIA Number: 34D2304798
- CLIA Cert. Type: Home Health Agency
- CLIA Exp. Date: 05-19-2026
About AVID HEALTH AT HOME NC
This page provides the complete NPI Profile along with additional information for Avid Health At Home Nc, a provider established in Fayetteville, North Carolina operating as a In Home Supportive Care. The healthcare provider is registered in the NPI registry with number 1225279508 assigned on March 2009. The practitioner's primary taxonomy code is 253Z00000X with license number HC1614 (NC). The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Avid Health At Home Nc. The authorized official of this NPI record is Jennifer Lentz (Ceo)
- NPI
- 1225279508
- Provider Legal Name
- AVID HEALTH AT HOME NORTH CAROLINA
- Other Organization Name
- AVID HEALTH AT HOME NC
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 2850 VILLAGE DR STE 204 FAYETTEVILLE, NC 28304
- Location Phone
- (910) 500-1629
- Location Fax
- (901) 500-9282
- Mailing Address
- 1508 MILITARY CUTOFF RD STE 304 WILMINGTON, NC 28403
- Mailing Phone
- (910) 362-9405
- Mailing Fax
- (901) 500-9282
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-16-2009
- Last Update Date
- 12-03-2024
- 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
In Home Supportive Care
- Taxonomy Code
- 253Z00000X
- Type
- Agencies
- License No.
- HC1614
- License State
- NC
- Taxonomy Description
- An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.
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 | 251E00000X | Agencies | Home Health | HC1614 (NC) |
| 2 | 251J00000X | Agencies | Nursing Care | HC1614 (NC) |
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.
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 |
|---|---|---|---|
| 6601425 | MEDICAID (05) | NC |
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
- 34D2304798
- Facility Type
- Home Health Agency
- Certificate Effective Date
- May 20, 2024
- Certificate Expiration Date
- May 19, 2026
- Laboratory Director
- TAMMY TENTON
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Avid Health At Home Nc 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 1225279508, we treat the final digit (8) 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 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).
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 62 is 70. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1225279508, enumerated as an "organization" on March 16, 2009.
The provider is located at 2850 VILLAGE DR STE 204 FAYETTEVILLE, NC 28304 and the phone number is (910) 500-1629.
In Home Supportive Care with taxonomy code 253Z00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
