CLEAR RECOVERY OF CACHE VALLEY
NPI 1922478056
Community/Behavioral Health in Providence, UT
NPI Status: Active since October 01, 2015
Contact Information
277 N SPRING CREEK PKWY
PROVIDENCE, UT
ZIP 84332
Phone: (435) 753-0253
Fax: (435) 753-0106
- Organization
- Community/Behavioral Health
- Accepts Insurance
- CLIA Number: 46D2103600
- CLIA Cert. Type: Other - OUTPATIENT SUBSTANCE ABUS
- CLIA Exp. Date: 10-14-2027
About CLEAR RECOVERY OF CACHE VALLEY
This page provides the complete NPI Profile along with additional information for Clear Recovery Of Cache Valley, a provider established in Providence, Utah operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1922478056 assigned on October 2015. The practitioner's primary taxonomy code is 251S00000X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The authorized official of this NPI record is Mr. Jay Robert Hymas (Ceo)
- NPI
- 1922478056
- Provider Name
- CLEAR RECOVERY OF CACHE VALLEY
- Entity Type
- Organization
- Location Address
- 277 N SPRING CREEK PKWY PROVIDENCE, UT 84332
- Location Phone
- (435) 753-0253
- Location Fax
- (435) 753-0106
- Mailing Address
- PO BOX 476 PROVIDENCE, UT 84332
- Mailing Phone
- (435) 753-0253
- Mailing Fax
- (435) 753-0106
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-01-2015
- Last Update Date
- 05-09-2019
- 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
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) |
|---|---|---|---|---|
| 1 | 251S00000X | Agencies | Community/Behavioral Health | 15425 (UT) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- BridgeSpan Standard Bronze Plan - HMO
- BridgeSpan Standard Gold Plan - HMO
- BridgeSpan Standard Silver Plan - HMO
- Bronze 8000 - EPO
- Bronze Essential 9000 Deductible With 4 Copay No Deductible Office Visits - EPO
- Bronze HSA 7000 - EPO
- Gold 2300 - EPO
- Regence Standard Bronze 7500 - EPO
- Regence Standard Gold 2000 - EPO
- Regence Standard Silver 6000 - EPO
- Silver 6500 - EPO
- Med Benchmark Expanded Bronze Select Copay Plan - HMO
- Med Benchmark Expanded Bronze Standardized Plan - HMO
- Med Benchmark Gold Standardized Plan - HMO
- Med Benchmark Platinum - HMO
- Med Benchmark Platinum Standardized Plan - HMO
- Med Benchmark Silver 6000 Medical Deductible w/Vision - HMO
- Med Benchmark Silver Standardized Plan - HMO
- Med Gold 1500 Medical Deductible - HMO
- Signature Benchmark Gold - HMO
- Signature Benchmark Gold Standardized Plan - HMO
- Signature Benchmark Silver 5900 Medical Deductible - HMO
- Signature Benchmark Silver Standardized Plan - HMO
- Value Benchmark Expanded Bronze Select Copay Plan - HMO
- Value Benchmark Gold Standardized Plan - HMO
- Value Benchmark Platinum - HMO
- Value Benchmark Platinum Standardized Plan - HMO
- Value Benchmark Silver 5900 Medical Deductible - HMO
- Value Benchmark Silver Standardized Plan - HMO
- Value Expanded Bronze 6900 Medical Deductible - HMO
- Value Gold 1500 Medical Deductible - HMO
- Healthy Premier Bronze HSA - EPO
- Healthy Premier Expanded Bronze Standard - EPO
- Healthy Premier Gold Copay Office Visits - EPO
- Healthy Premier Gold Standard - EPO
- Healthy Premier Silver Copay Office Visits - EPO
- Healthy Premier Silver Standard - 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
- 46D2103600
- Facility Type
- Other - OUTPATIENT SUBSTANCE ABUS
- Certificate Effective Date
- October 15, 2025
- Certificate Expiration Date
- October 14, 2027
- Laboratory Director
- BRANT FONNESBECK DO
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Clear Recovery Of Cache Valley 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 CLEAR RECOVERY OF CACHE VALLEY
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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 1922478056, we treat the final digit (6) 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 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).
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 64 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 5 providers are registered at the same or a nearby location.
PROVIDENCE, UT 84332
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1922478056, enumerated as an "organization" on October 01, 2015.
The provider is located at 277 N SPRING CREEK PKWY PROVIDENCE, UT 84332 and the phone number is (435) 753-0253.
Community/Behavioral Health with taxonomy code 251S00000X.
The provider might be accepting Accepts: BridgeSpan Health Company, Regence BlueCross. Please consult your insurance carrier or call the provider to verify.
