BHG LVI, LLC (NPI# 1356974612) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1356974612 |
Entity Type | Organization |
Organization Name | BHG LVI, LLC |
Practice Address |
26 Valley Rd Ste 202 Middletown RI 02842-6371 |
Mailing Address |
5001 Spring Valley Rd Ste 600e Dallas TX 75244-8217 |
Practice Telephone | 4015524673 |
Mailing Telephone | 2143656100 |
Mailing Fax Number | 2143656150 |
Enumeration Date | 2020-02-14 |
Last Update Date | 2020-02-14 |
Authorized Official Name | MRS. JEMECE MICHELLE GASAWAY (DIRECTOR OF LICENSING) |
Authorized Official Telephone | 2143656126 |
Authorized Official Credential | MSW, LMSW |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities | ||
N | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities | ||
Y | 261QM2800X |
Clinic/Center Specialization: Methadone Clinic |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
BHG Middletown Treatment Center | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700419074 | Bhg Lvi, LLC | Clinic/Center | 985 Plainfield St, Johnston, RI 02919-6703 | 2020-02-14 |
1508499872 | Bhg Lvi, LLC | Clinic/Center | 160 Narragansett Ave, Providence, RI 02907-3367 | 2020-02-14 |
1871126144 | Bhg Lvi, LLC | Clinic/Center | 86 Beach St, Westerly, RI 02891-2718 | 2020-02-14 |
Street Address |
26 VALLEY RD STE 202 |
City | MIDDLETOWN |
State | RI |
Zip Code | 02842-6371 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649764549 | Hilarie Baron | Counselor | 26 Valley Rd Ste 202, Middletown, RI 02842-6371 | 2018-06-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427671478 | Shannon M. Pine | Counselor | E Admiralty Drive, 2, Middletown, RI 02842 | 2020-05-26 |
1912425968 | Gail Demarco | Registered Nurse | 127 Johnnycake Hill Road, Middletown, RI 02842 | 2017-08-30 |
1790201861 | Logan Christopher Menard | Specialist/Technologist | 4 Orville Drive, Middletown, RI 02842 | 2017-08-20 |
1295149714 | Jacquelyn Marez | Occupational Therapy Assistant | 1998 West Main Rd, Middletown, RI 02842 | 2014-06-12 |
1144660465 | Brittney Lea Barry | Audiologist | Naval Health Clinic New England 43 Smith Rd., Newport, RI 02842 | 2013-07-01 |
1912262445 | Wendy S Drysdale | Student in an Organized Health Care Education/Training Program | 372 Purgatory Road, St. George's School, Middletown, RI 02842 | 2012-07-11 |
1912294778 | Laurie B Phenix | Pharmacist | 88 Silva Lane, Tech 4, Suite 110, Middletown, RI 02842 | 2011-06-30 |
1023278249 | Ann Marie Efflandt | Speech-Language Pathologist | 333 Green Ave, Middletown, RI 02842 | 2008-06-11 |
1669631487 | Tiffany Bourquin | Counselor | 575 E Main Rd Unit 4, Middletown, RI 02842 | 2008-06-06 |
1104048396 | Valley Primary Care Inc | Family Medicine | 294 Valley Road, Middletown, RI 02842 | 2007-05-03 |
Find all providers in zip 02842 |
Taxonomy Code | 261QM2800X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Methadone Clinic |
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699795104 | Center for Treatment and Recovery | Clinic/Center | 82 Pond Street, Pawtucket, RI 02860 | 2006-07-20 |
1053319368 | R.i.s.a.t., LLC | Clinic/Center | 1625 Diamond Hill Rd, Woonsocket, RI 02895-1541 | 2005-07-11 |
1457822413 | Victa LLC | Clinic/Center | 110 Elmwood Ave, Providence, RI 02907-2423 | 2018-12-16 |
1750631990 | Sheila Smith | Clinic/Center | 1625 Diamond Hill Rd, Woonsocket, RI 02895-1771 | 2012-09-14 |
City | MIDDLETOWN |
Zip Code | 02842 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.