BHG LVI, LLC (NPI# 1508499872) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1508499872 |
Entity Type | Organization |
Organization Name | BHG LVI, LLC |
Practice Address |
160 Narragansett Ave Providence RI 02907-3367 |
Mailing Address |
5001 Spring Valley Rd Ste 600e Dallas TX 75244-8217 |
Practice Telephone | 4019414488 |
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 | 3372632971 |
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 Providence 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 |
1871126144 | Bhg Lvi, LLC | Clinic/Center | 86 Beach St, Westerly, RI 02891-2718 | 2020-02-14 |
1356974612 | Bhg Lvi, LLC | Clinic/Center | 26 Valley Rd Ste 202, Middletown, RI 02842-6371 | 2020-02-14 |
Street Address |
160 NARRAGANSETT AVE |
City | PROVIDENCE |
State | RI |
Zip Code | 02907-3367 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851506091 | Providence Metro Treatment Center | Pharmacy | 160 Narragansett Ave, Providence, RI 02907-3367 | 2007-05-11 |
1760032734 | Denise J Disaia | Counselor | 160 Narragansett Ave, Providence, RI 02907-3367 | 2019-09-12 |
1235689522 | Whitney Ann Hall | Counselor | 160 Narragansett Ave, Providence, RI 02907-3367 | 2016-10-11 |
1871049742 | Alexis Mcmahon | Counselor | 160 Narragansett Ave, Providence, RI 02907-3367 | 2016-08-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518522861 | Catherine M Katzberg | Massage Therapist | Santosha Yoga Studio, 275 Reservoir Ave, Providence, RI 02907 | 2019-05-02 |
1104317007 | Victa LLC | Internal Medicine | 110 Elmwood Ave # A, Providence, RI 02907 | 2018-05-25 |
1639566987 | Southside Elementary Charter School | Local Education Agency (LEA) | 126 Somerset Street, Providence, RI 02907 | 2015-04-23 |
1063846558 | Achievement First Providence Mayoral Academy Charter School | Local Education Agency (LEA) | 370 Hartford Aveneue, Providence, RI 02907 | 2013-09-03 |
1912297425 | Reynaldo P Baduya Sr.,dmd | Clinic/Center | 252 Adelaide Avenue, Providence, RI 02907 | 2011-04-18 |
1821218587 | Map Behavioral Health Serv. Inc. | Community/Behavioral Health | 66 Burnett Street, Providence, RI 02907 | 2007-04-26 |
1548336944 | Angelica Redleaf | Chiropractor | 1196 Elmwood Avenue, Providence, RI 02907 | 2006-11-28 |
1174619878 | Emilio Rodriguez-peris | Internal Medicine | 655 Broad Street, Suite 201, Providence, RI 02907 | 2006-10-04 |
1841381555 | Maged Taman | Internal Medicine | 21 Peace Street, Providence, RI 02907 | 2006-09-27 |
1003924226 | Gladys V Rezendes | Psychologist | 118 Comstock Avenue, Providence, RI 02907 | 2006-08-28 |
Find all providers in zip 02907 |
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 |
---|---|---|---|---|
1457822413 | Victa LLC | Clinic/Center | 110 Elmwood Ave, Providence, RI 02907-2423 | 2018-12-16 |
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 |
1750631990 | Sheila Smith | Clinic/Center | 1625 Diamond Hill Rd, Woonsocket, RI 02895-1771 | 2012-09-14 |
City | PROVIDENCE |
Zip Code | 02907 |
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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.