BRISTOL LIFESTYLE RECOVERY
NPI 1376064147
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Bristol, VA
NPI Status: Active since July 03, 2017
Contact Information
261 NORTH ST
BRISTOL, VA
ZIP 24201
Phone: (276) 821-8030
- Organization
- Residential Treatment Facility, Intellec...
- Accepts Insurance
- CLIA Number: 49D2214324
- CLIA Cert. Type: Other - DRUG REHAB FACILITY
- CLIA Exp. Date: 02-21-2027
About BRISTOL LIFESTYLE RECOVERY
This page provides the complete NPI Profile along with additional information for Bristol Lifestyle Recovery, a provider established in Bristol, Virginia operating as a Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The healthcare provider is registered in the NPI registry with number 1376064147 assigned on July 2017. The practitioner's primary taxonomy code is 320600000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Bristol Lifestyle Recovery. The authorized official of this NPI record is Robert Jennings Garrett (President)
- NPI
- 1376064147
- Provider Legal Name
- FAIRVIEW HOUSING MANAGEMENT CORP
- Other Organization Name
- BRISTOL LIFESTYLE RECOVERY
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 261 NORTH ST BRISTOL, VA 24201
- Location Phone
- (276) 821-8030
- Mailing Address
- PO BOX 5746 JOHNSON CITY, TN 37602
- Mailing Phone
- (423) 612-2995
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-03-2017
- Last Update Date
- 09-19-2023
- Code Navigator
Location Map
Secondary Locations
- 100 E Millard Street
Johnson City, TN 37602
(423) 845-5600 - 482 Bradley St SW
Abingdon, VA 24210
(276) 451-3996
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
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Taxonomy Code
- 320600000X
- Type
- Residential Treatment Facilities
- Taxonomy Description
- A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
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 | 101YA0400X | Behavioral Health & Social Service Providers | Counselor | LI0000000004235 (TN) |
| 2 | 251S00000X | Agencies | Community/Behavioral Health |
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- BlueCross B15E $0 virtual care from Teladoc Health� - EPO
- BlueCross B16E $50 PCP Copay + $0 virtual care from Teladoc Health� - EPO
- BlueCross B16S $50 PCP Copay + $0 virtual care from Teladoc Health� - EPO
- BlueCross B17E $0 virtual care from Teladoc Health� + Adult Dental - EPO
- BlueCross B19E $60 PCP Copay + $0 virtual care from Teladoc Health� - EPO
- BlueCross G08E $30 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross G08S $30 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross S26E $40 PCP Copay + $0 virtual care from Teladoc Health� - EPO
- BlueCross S26S $40 PCP Copay + $0 virtual care from Teladoc Health� - EPO
- BlueCross S27E $60 PCP Copay + $0 virtual care from Teladoc Health� - EPO
- BlueCross S29E $60 PCP Copay + $0 virtual care from Teladoc Health� + Adult Dental - EPO
- BlueCross S34E $45 PCP Copay + $0 virtual care from Teladoc Health� - EPO
*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
- 49D2214324
- Facility Type
- Other - DRUG REHAB FACILITY
- Certificate Effective Date
- February 22, 2025
- Certificate Expiration Date
- February 21, 2027
- Laboratory Director
- DILLON R. FERGUSON
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Bristol Lifestyle Recovery 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 BRISTOL LIFESTYLE RECOVERY
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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 1376064147, 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 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 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 63 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 14 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1376064147, enumerated as an "organization" on July 03, 2017.
The provider is located at 261 NORTH ST BRISTOL, VA 24201 and the phone number is (276) 821-8030.
Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.
The provider might be accepting Accepts: BlueCross BlueShield of Tennessee. Please consult your insurance carrier or call the provider to verify.
