DIERKS HEALTH & REHAB CENTER
NPI 1760458814
Skilled Nursing Facility in Dierks, AR

NPI Status: Active since February 28, 2006

Contact Information

402 S. ARKANSAS AVE
DIERKS, AR
ZIP 71833
Phone: (870) 286-3100
Fax: (870) 286-3030

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  • Organization
  • Skilled Nursing Facility
  • CLIA Number: 04D0948382
  • CLIA Cert. Type: Other - LONG TERM CARE
  • CLIA Exp. Date: 07-08-2026

About DIERKS HEALTH & REHAB CENTER

This page provides the complete NPI Profile along with additional information for Dierks Health & Rehab Center, a provider established in Dierks, Arkansas operating as a Skilled Nursing Facility. The healthcare provider is registered in the NPI registry with number 1760458814 assigned on February 2006. The practitioner's primary taxonomy code is 314000000X with license number 769 (AR). The provider is registered as an organization and their NPI record was last updated 19 years ago. The provider's is doing business as Dierks Health & Rehab Center. The authorized official of this NPI record is Mr. Kurt Lee Luth (Registered Agent)

NPI
1760458814
Provider Legal Name
BANYAN HEALTHCARE SERVICES, LLC
Other Organization Name
DIERKS HEALTH & REHAB CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
402 S. ARKANSAS AVE DIERKS, AR 71833
Location Phone
(870) 286-3100
Location Fax
(870) 286-3030
Mailing Address
120 BROOKSWOOD RD SHERWOOD, AR 72120
Mailing Phone
(501) 833-5627
Mailing Fax
(870) 286-3030
Is Sole Proprietor?
No
Enumeration Date
02-28-2006
Last Update Date
07-09-2007
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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

Skilled Nursing Facility

Taxonomy Code
314000000X
Type
Nursing & Custodial Care Facilities
License No.
769
License State
AR
Taxonomy Description
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

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

MR. KURT LEE LUTH

Authorized Official Title
REGISTERED AGENT
Authorized Official Phone
(501) 833-5627

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
045346MEDICARE ID-TYPE UNSPECIFIED (04)ARMEDICARE PROVIDER NUMBER

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
04D0948382
Facility Type
Other - LONG TERM CARE
Certificate Effective Date
July 09, 2024
Certificate Expiration Date
July 08, 2026
Laboratory Director
CRYSTAL STOKES
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Dierks Health & Rehab Center 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 1760458814, we treat the final digit (4) 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 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).

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
7
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
0
Unchanged
Pos 5
4
Doubled → 8
Pos 6
5
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
8
Unchanged
Pos 9
1
Doubled → 2
Check
4
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 6 → 12 → 3 4 → 8 8 → 16 → 7 1 → 2

Step 2: Add all digits plus the NPI constant

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

2 + 7 + 1 + 2 + 0 + 8 + 5 + 1 + 6 + 8 + 2 + 24 = 66

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

The next multiple of ten after 66 is 70. The difference is the calculated check digit.

70 - 66 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1760458814.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1760458814, enumerated as an "organization" on February 28, 2006.

The provider is located at 402 S. ARKANSAS AVE DIERKS, AR 71833 and the phone number is (870) 286-3100.

Skilled Nursing Facility with taxonomy code 314000000X.

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