FAMILY WELLNESS CLINIC
NPI 1558397059
Specialist in Henderson, NV
NPI Status: Active since June 25, 2006
Contact Information
10001 S EASTERN AVE
210
HENDERSON, NV
ZIP 89052
Phone: (702) 837-4397
Fax: (702) 837-7426
- Organization
- Specialist
- CLIA Number: 29D1006641
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 01-29-2027
About FAMILY WELLNESS CLINIC
This page provides the complete NPI Profile along with additional information for Family Wellness Clinic, a provider established in Henderson, Nevada operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1558397059 assigned on June 2006. The practitioner's primary taxonomy code is 174400000X with license number 9976 (NV). The provider is registered as an organization and their NPI record was last updated 6 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 Family Wellness Clinic. The authorized official of this NPI record is Casiano R Flaviano Md (President)
- NPI
- 1558397059
- Provider Legal Name
- SPORTS MEDICINE REHABILITATION
- Other Organization Name
- FAMILY WELLNESS CLINIC
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 10001 S EASTERN AVE 210 HENDERSON, NV 89052
- Location Phone
- (702) 837-4397
- Location Fax
- (702) 837-7426
- Mailing Address
- 10001 S EASTERN AVE 210 HENDERSON, NV 89052
- Mailing Phone
- (702) 837-4397
- Mailing Fax
- (702) 837-7426
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-25-2006
- Last Update Date
- 03-09-2020
- 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
Specialist
- Taxonomy Code
- 174400000X
- Type
- Other Service Providers
- License No.
- 9976
- License State
- NV
- Taxonomy Description
- An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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.
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
- 29D1006641
- Facility Type
- Physician Office
- Certificate Effective Date
- January 30, 2025
- Certificate Expiration Date
- January 29, 2027
- Laboratory Director
- ELLAINE PINGOL
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Family Wellness Clinic 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 1558397059, we treat the final digit (9) 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 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).
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 61 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 17 providers are registered at the same or a nearby location.
HENDERSON, NV 89052
HENDERSON, NV 89052
HENDERSON, NV 89052
HENDERSON, NV 89052
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1558397059, enumerated as an "organization" on June 25, 2006.
The provider is located at 10001 S EASTERN AVE 210 HENDERSON, NV 89052 and the phone number is (702) 837-4397.
Specialist with taxonomy code 174400000X.
