ENVISION HEALTHCARE SERVICES LLC
NPI 1376863233
Community/Behavioral Health in Bennettsville, SC

NPI Status: Active since June 02, 2010

Contact Information

145 HIGHWAY 15-401 BYP W STE 9
BENNETTSVILLE, SC
ZIP 29512
Phone: (803) 236-7424
Fax: (843) 868-5020

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  • Organization
  • Community/Behavioral Health
  • CLIA Number: 42D2294009
  • CLIA Cert. Type: Other - DIAGNOSTIC LAB
  • CLIA Exp. Date: 11-16-2025

About ENVISION HEALTHCARE SERVICES LLC

This page provides the complete NPI Profile along with additional information for Envision Healthcare Services Llc, a provider established in Bennettsville, South Carolina operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1376863233 assigned on June 2010. The practitioner's primary taxonomy code is 251S00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Envision Healthcare Services Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Ms. Kimberly Latrice Hastie (Ceo/president)

NPI
1376863233
Provider Name
ENVISION HEALTHCARE SERVICES LLC
Entity Type
Organization
Location Address
145 HIGHWAY 15-401 BYP W STE 9 BENNETTSVILLE, SC 29512
Location Phone
(803) 236-7424
Location Fax
(843) 868-5020
Mailing Address
145 HIGHWAY 15-401 BYP W STE 9 BENNETTSVILLE, SC 29512
Mailing Phone
(843) 456-5045
Mailing Fax
(843) 868-5020
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-02-2010
Last Update Date
06-10-2024
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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

Community/Behavioral Health

Taxonomy Code
251S00000X
Type
Agencies
Taxonomy Description
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

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)
1101Y00000XBehavioral Health & Social Service Providers

Counselor

 
2101YM0800XBehavioral Health & Social Service Providers

Counselor
Mental Health

 
3101YP2500XBehavioral Health & Social Service Providers

Counselor
Professional

 
4104100000XBehavioral Health & Social Service Providers

Social Worker

 
51041C0700XBehavioral Health & Social Service Providers

Social Worker
Clinical

 
6106H00000XBehavioral Health & Social Service Providers

Marriage & Family Therapist

 
7246QL0900XTechnologists, Technicians & Other Technical Service Providers

Specialist/Technologist, Pathology
Laboratory Management

 
8246RP1900XTechnologists, Technicians & Other Technical Service Providers

Technician, Pathology
Phlebotomy

 
9247ZC0005XTechnologists, Technicians & Other Technical Service Providers

Pathology
Clinical Laboratory Director, Non-physician

 
10253J00000XAgencies

Foster Care Agency

 
11343900000XTransportation Services

Non-emergency Medical Transport (VAN)

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

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

MS. KIMBERLY LATRICE HASTIE

Authorized Official Title
CEO/PRESIDENT
Authorized Official Phone
(803) 236-7424

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
42D2294009
Facility Type
Other - DIAGNOSTIC LAB
Certificate Effective Date
November 17, 2023
Certificate Expiration Date
November 16, 2025
Laboratory Director
KIMBERLY HASTIE
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Envision Healthcare Services Llc 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 1376863233, 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
3
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
6
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
6
Unchanged
Pos 7
3
Doubled → 6
Pos 8
2
Unchanged
Pos 9
3
Doubled → 6
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 7 → 14 → 5 8 → 16 → 7 3 → 6 3 → 6

Step 2: Add all digits plus the NPI constant

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

2 + 3 + 1 + 4 + 6 + 1 + 6 + 6 + 6 + 2 + 6 + 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 1376863233.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Technician, Pathology (Phlebotomy)
145 HIGHWAY 15-401 BYP W STE 9
BENNETTSVILLE, SC 29512

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1376863233, enumerated as an "organization" on June 02, 2010.

The provider is located at 145 HIGHWAY 15-401 BYP W STE 9 BENNETTSVILLE, SC 29512 and the phone number is (803) 236-7424.

Community/Behavioral Health with taxonomy code 251S00000X.