Bhg Lxxix, LLC
Clinic/Center, Rehabilitation, Substance Use Disorder in Pawtucket, Rhode Island
1902516917- Practice location
- 82 Pond St Rm 100, Pawtucket, RI 02860-4462
- Phone
- 401-727-1287
- Fax
- 401-727-1289
- Last updated
- December 23, 2024
Bhg Lxxix, LLC is a healthcare organization based in Pawtucket, RI. Bhg Lxxix, LLC practices in Pawtucket, RI. The NPI Number for Bhg Lxxix, LLC is 1902516917. The current practice location address for Bhg Lxxix, LLC is 82 Pond St Rm 100, Pawtucket, RI 02860-4462 and can be reached out via phone at 401-727-1287 and via fax at 401-727-1289.
Provider Profile Details
- NPI Number
- 1902516917
- Provider Name
- Bhg Lxxix, LLC
- Provider Entity Type
- Organization
- Address
- 82 Pond St Rm 100, Pawtucket, RI 02860-4462
- Phone Number
- 401-727-1287
- Fax Number
- 401-727-1289
- Primary Taxonomy
- Clinic/Center, Rehabilitation, Substance Use Disorder · 261QR0405X
- Organization Subpart
- No
- Authorized Official
- Jay Higham · Ceo · 214-365-6112
- Other Names
- Bhg Medical Services - Rhode Island (Doing Business As)
- Provider Enumeration Date
- November 30, 2022
- Last Update Date
- December 23, 2024
- Certification Date
- December 23, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 82 Pond St Rm 100
Pawtucket, RI 02860-4462 - City
- Pawtucket
- State
- Rhode Island
- Zip
- 02860-4462
- Phone Number
- 401-727-1287
- Fax Number
- 401-727-1289
Provider Business Mailing Address Details
- Address
- 5001 Spring Valley Road
Suite 600 East
Dallas, TX 75244-3946 - City
- Dallas
- State
- TX
- Zip
- 75244-3946
- Phone Number
- 214-365-6100
- Fax Number
- 214-365-6150
License Information
- Taxonomy (1)
- Specialist · 174400000X
- Taxonomy (2)
- Clinic/Center, Mental Health (Including Community Mental Health Center) · 261QM0801X
- Taxonomy (3)
- Clinic/Center, Methadone Clinic · 261QM2800X
- Taxonomy (4)
- Clinic/Center, Rehabilitation, Substance Use Disorder · 261QR0405X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Bhg Lxxix, LLC?
The NPI number of Bhg Lxxix, LLC is 1902516917. It was assigned on November 30, 2022 and is currently active in the NPPES registry.
What is the specialty of Bhg Lxxix, LLC?
Bhg Lxxix, LLC is registered under the primary taxonomy Clinic/Center, Rehabilitation, Substance Use Disorder (code 261QR0405X).
Where does Bhg Lxxix, LLC practice?
The practice location is 82 Pond St Rm 100, Pawtucket, RI 02860-4462. The office can be reached at 401-727-1287 (phone) or 401-727-1289 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1902516917 directly on the NPPES registry website.