BHG XLII LLC NPI 1003362484

NPI Information

NPI: 1003362484
Provider Name: BHG XLII, LLC
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

CLIA Number: 49D2118621

Address:
5715 PRINCESS ANNE RD
VIRGINIA BEACH, VA
ZIP 23462
Phone: (757) 962-0748
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BHG XLII, LLC is a rehabilitation and substance use disorder clinic center in Virginia Beach, VA. BHG XLII, LLC NPI is 1003362484. The provider is registered as an organization entity type.

The provider's business location address is:

5715 PRINCESS ANNE RD
VIRGINIA BEACH, VA
ZIP 23462-222
Phone: (757) 962-0748

The provider's authorized official is Jemece Michelle Gasaway .
The authorized official title is Director Of Licensing and has the following contact phone number (214) 365-6126.

The CLIA number assigned to this NPI record is 49D2118621 - other - outpatient opioid center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/26/2016 and was last updated on 2/22/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	2967	VIRGINIA	No
2	261QM2800X	Clinic/Center	Methadone	2967	VIRGINIA	No
3	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	2967	VIRGINIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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