NEA DIVINE INTERVENTION INC – NPI #1386376754
Substance Abuse Rehabilitation Facility

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

Health Care Provider Taxonomy Code for Substance Abuse Rehabilitation Facility

NEA DIVINE INTERVENTION INC is a substance abuse rehabilitation facility located in JONESBORO, AR. NPPES has assigned the NPI number 1386376754 to NEA DIVINE INTERVENTION INC on June 25, 2022. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 324500000X from the Health Care Provider Taxonomy code set, which is classified as Substance Abuse Rehabilitation Facility.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for NEA DIVINE INTERVENTION INC below.

NPI Profile for
NEA DIVINE INTERVENTION INC

NPI Number
1386376754
Enumeration Date

(about 4 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
NEA DIVINE INTERVENTION INC
Primary location
2504 FAIRFIELD DR
JONESBORO, AR 72401-6474
Phone: (870) 206-4455 Fax:
Mailing address
4213 TERI DAWN CV
JONESBORO, AR 72405-7839
Phone: (870) 206-4455 Fax:
Organization Subpart
No
Authorized Official
ALEXANDRA MAZIQUE-GILBERT
ADMINISTRATIVE ASSISTANT
Phone: (870) 316-0234
Updated
Certification Date
Jun 25, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for NEA DIVINE INTERVENTION INC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDAR01031991
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
324500000X
- Substance Abuse Rehabilitation Facility (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
EMAIL
Content Type
CSV
Affiliation
N
Endpoint Location
4213 TERI DAWN CV,
JONESBORO, AR 77025-1669