BHG L, LLC (NPI# 1619501657) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619501657 |
| Entity Type | Organization |
| Organization Name | BHG L, LLC |
| Practice Address |
1058 Front St Ste 104 Conway AR 72032-4337 |
| Mailing Address |
5001 Spring Valley Rd Ste 600e Dallas TX 75244-8217 |
| Practice Telephone | 2143656100 |
| Practice Fax Number | 2143656150 |
| Mailing Telephone | 2143656126 |
| Mailing Fax Number | 2143656150 |
| Enumeration Date | 2020-02-28 |
| Last Update Date | 2020-02-28 |
| 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-Conway | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609409911 | Bhg L, LLC | Clinic/Center | 255 E College St, Batesville, AR 72501-5507 | 2020-02-14 |
| 1215560529 | Bhg L, LLC | Clinic/Center | 2231 Trinity Blvd, Texarkana, AR 71854-8403 | 2020-02-14 |
| 1598398802 | Bhg L, LLC | Clinic/Center | 5510 Southwest Drive, Ste 8, Jonesboro, AR 72404-8352 | 2020-02-14 |
| 1285280016 | Bhg L, LLC | Clinic/Center | 1501 Waldron Road, Ste 203, Fort Smith, AR 72903 | 2019-08-16 |
| 1508412339 | Bhg L, LLC | Clinic/Center | 1 Mercy Ln Ste 403, Hot Springs, AR 71913-6441 | 2019-08-16 |
| 1306492129 | Bhg L, LLC | Clinic/Center | 8 Colt Square Drive, Fayetteville, AR 72703 | 2019-08-16 |
| 1699321406 | Bhg L, LLC | Clinic/Center | 4260 Stockton Dr Ste A, North Little Rock, AR 72117-2915 | 2019-08-16 |
| Street Address |
1058 FRONT ST STE 104 |
| City | CONWAY |
| State | AR |
| Zip Code | 72032-4337 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730789843 | Amelia S Lasater | Pharmacist | 1155 Hwy 65n, Conway, AR 72032 | 2020-10-28 |
| 1619584604 | Danyelle Durocher | Occupational Therapist | 1301 North Museum Rd, Conway, AR 72032 | 2020-09-24 |
| 1780222174 | Eric Herman Boxnick | Pharmacist | 101 West Oak Street, Conway, AR 72032 | 2019-12-16 |
| 1932746070 | Habilitation Center, LLC | Psychiatric Residential Treatment Facility | 161 Skunk Hollow Road, Conway, AR 72032 | 2019-12-09 |
| 1679051668 | Mary Elizabeth Black | Nurse Practitioner | 222 Dave Ward Drive, Conway, AR 72032 | 2018-08-01 |
| 1275035602 | Conway Dental Center Pllc | Dentist | 1600 E. Oak Street Suite B, Conway, AR 72032 | 2018-03-01 |
| 1750821625 | Luke Osborne | Physical Therapy Assistant | 1 Thomas Ln, Conway, AR 72032 | 2017-02-27 |
| 1639620099 | Sam's West, Inc. | Technician/Technologist | 1250 South Amity Rd, Conway, AR 72032 | 2016-10-20 |
| 1922559343 | Sam's West, Inc. | Durable Medical Equipment & Medical Supplies | 1250 Sourth Amity Rd, Conway, AR 72032 | 2016-10-20 |
| 1639629108 | Posture Store | Durable Medical Equipment & Medical Supplies | 3900 Dave Ward Dr., Suite 1900-130, Conway, AR 72032 | 2016-10-09 |
| Find all providers in zip 72032 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578969358 | Horry County Commission for Alcohol and Drug Abuse | Clinic/Center | 2404 Wise Rd, Conway, SC 29526-5521 | 2014-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306484860 | Eaglecrest Recovery LLC | Clinic/Center | 1106 Sw 2nd St, Bentonville, AR 72712-5026 | 2019-12-16 |
| 1407407570 | Serenity Park Recovery Clinic | Clinic/Center | 2711 W Roosevelt Rd, Little Rock, AR 72204-5668 | 2019-09-20 |
| 1447723143 | Sozo Recovery Centers Inc | Clinic/Center | 243 Nathan Ter, Jessieville, AR 71949-9289 | 2019-01-04 |
| 1346642634 | Addiction & Mental Health Services, LLC | Clinic/Center | 11215 Hermitage Rd Ste 204, Little Rock, AR 72211-3864 | 2014-09-18 |
| 1942403696 | Gateway House Inc | Clinic/Center | 3900 Armour Avenue, Fort Smith, AR 72904-4317 | 2007-06-08 |
| 1285273219 | True Self Recovery LLC | Clinic/Center | 1104 N 2nd St, Rogers, AR 72756-2834 | 2019-12-20 |
| 1902443229 | Quapaw House | Clinic/Center | 615 W Grand Ave, Hot Springs, AR 71901-3927 | 2019-12-05 |
| 1255977054 | University of Arkansas for Medical Sciences | Clinic/Center | 4224 Shuffield Drive, Little Rock, AR 72205-7101 | 2019-11-27 |
| 1447780952 | Arc Rehabilitation Center Pa | Clinic/Center | 1 Lile Ct Ste 103, Little Rock, AR 72205-6239 | 2017-06-16 |
| 1013461987 | Jefferson Comprehensive Counseling Associates | Clinic/Center | 2304 W 29th Ave, Pine Bluff, AR 71603-5005 | 2016-08-09 |
| Find all providers with the same taxonomy | ||||
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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.