BHG LVIII, LLC (NPI# 1588296701) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588296701 |
| Entity Type | Organization |
| Organization Name | BHG LVIII, LLC |
| Practice Address |
48 Independence Dr Hazard KY 41701-9443 |
| Mailing Address |
5001 Spring Valley Rd Ste 600e Dallas TX 75244-8217 |
| Practice Telephone | 6064871646 |
| Practice Fax Number | 6064871746 |
| Mailing Telephone | 2143656126 |
| Mailing Fax Number | 2143656150 |
| Enumeration Date | 2020-02-05 |
| Last Update Date | 2020-02-05 |
| 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 | ||
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| BHG Medical Services Kentucky | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538791165 | Bhg Lviii, LLC | Clinic/Center | 1000 Ace Drive, Berea, KY 40403-1327 | 2020-02-11 |
| 1538791140 | Bhg Lviii, LLC | Clinic/Center | 2705 Olivet Church Road, Paducah, KY 42001-9755 | 2020-02-11 |
| 1851923460 | Bhg Lviii, LLC | Clinic/Center | 967 Us Highway 25 W, Corbin, KY 40701-4543 | 2020-02-11 |
| 1184256703 | Bhg Lviii, LLC | Clinic/Center | 455 Park Place, Suite 130, Lexington, KY 40511-1881 | 2020-02-11 |
| 1881226090 | Bhg Lviii, LLC | Clinic/Center | 368 S Mayo Trl, Pikeville, KY 41501-1522 | 2020-02-05 |
| 1629600937 | Bhg Lviii, LLC | Clinic/Center | 628 Jefferson Ave, Paintsville, KY 41240-1471 | 2020-02-05 |
| 1659902096 | Bhg Lviii, LLC | Clinic/Center | 1736 Alexandria Dr Ste 225, Lexington, KY 40504-3159 | 2020-02-03 |
| Street Address |
48 INDEPENDENCE DR |
| City | HAZARD |
| State | KY |
| Zip Code | 41701-9443 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740614676 | Ruth Ann Combs | Counselor | 48 Independence Dr, Hazard, KY 41701-9443 | 2013-08-28 |
| 1134685787 | Dawn Rayburn | Counselor | 48 Independence Dr, Hazard, KY 41701-9443 | 2019-02-19 |
| 1417447863 | Ernie Michael Williams | Counselor | 48 Independence Dr, Hazard, KY 41701-9443 | 2018-05-11 |
| 1205363835 | Richard Helton | Counselor | 48 Independence Dr, Hazard, KY 41701-9443 | 2017-05-13 |
| 1235665258 | Travis Owens | Counselor | 48 Independence Dr, Hazard, KY 41701-9443 | 2017-05-11 |
| 1710426986 | Susan Walls | Counselor | 48 Independence Dr, Hazard, KY 41701-9443 | 2017-02-21 |
| 1831635929 | Pamela Smith | Case Manager/Care Coordinator | 48 Independence Dr, Hazard, KY 41701-9443 | 2017-01-12 |
| 1073057410 | Randall Grace | Counselor | 48 Independence Dr, Hazard, KY 41701-9443 | 2016-12-05 |
| 1609326354 | Sandra F Caudill | Counselor | 48 Independence Dr, Hazard, KY 41701-9443 | 2016-10-06 |
| 1437607785 | Richard Walls | Counselor | 48 Independence Dr, Hazard, KY 41701-9443 | 2016-09-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528557147 | Mercy Medical Clinic Pllc | Family Medicine | 14659 Us N Hwy 25e, Ste 16, Corbin, KY 41701 | 2018-05-09 |
| 1770080574 | John Corey Taylor | Student in an Organized Health Care Education/Training Program | 750 Morton Blvd., Hazard, KY 41701 | 2018-04-09 |
| 1700304714 | Kentucky River District Health Department | Public Health or Welfare | 72 Miss Edna Lane, Hazard, KY 41701 | 2017-08-30 |
| 1932637972 | Uvalyne Diane Preston | Dietitian, Registered | 210 Black Gold Blvd., Suite 107, Hazard Va Clinic, Hazard, KY 41701 | 2017-06-02 |
| 1124471370 | Family Center LLC | Specialist/Technologist, Other | 101 Town and Country Lane, Hazard, KY 41701 | 2016-07-22 |
| 1558730168 | Southgate Independent School District | Local Education Agency (LEA) | 6 William Blatt Ave, Southgate, KY 41701 | 2015-09-24 |
| 1285016980 | Jonathan Sizemore | Speech-Language Pathologist | 9821 Ky Hwy 476, Hazard, KY 41701 | 2015-06-18 |
| 1295126233 | Herbal Secrets | Skilled Nursing Facility | 202 Cliff View Lane, Hazard, KY 41701 | 2015-02-12 |
| 1417393414 | Bhg Xxvi, LLC | Case Management | 48 Independence Drive, Hazard, KY 41701 | 2013-05-16 |
| 1447585336 | Ace Clinique Pharmacy | Pharmacy | 207 Roy Campbell Dr, Hazard, KY 41701 | 2009-10-09 |
| Find all providers in zip 41701 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
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| 1902442585 | Lake Cumberland Recovery, Inc | Clinic/Center | 8294 S Highway 27, Burnside, KY 42519-9412 | 2019-11-19 |
| 1073075792 | Applegate Health Services, Inc | Clinic/Center | 5966 Scottsville Road Unit 7, Bowling Green, KY 42104 | 2019-04-02 |
| 1194295089 | Freedom Bridge To Recovery LLC | Clinic/Center | 1307 Magnolia St, Bowling Green, KY 42104-3050 | 2018-12-04 |
| 1619450186 | Pax House Inc. | Clinic/Center | 2305 Hurstbourne Village Dr Ste 600, Louisville, KY 40299-2875 | 2018-09-11 |
| 1063999761 | Landmark Recovery Outpatient Services LLC | Clinic/Center | 4112 Fern Valley Rd Ste B, Louisville, KY 40219-1973 | 2018-07-25 |
| 1144723453 | Rose of Sharon House | Clinic/Center | 865 W Shelby St, Junction City, KY 40440-8502 | 2018-03-13 |
| 1477062487 | New Legacy Recovery LLC | Clinic/Center | 1510 Newtown Pike Ste 120, Lexington, KY 40511-1255 | 2017-09-21 |
| 1710426960 | The Liberty Ranch Rehabilitation Center | Clinic/Center | 2735 Ky Highway 501, Kings Mountain, KY 40442-9761 | 2017-02-21 |
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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.