BHG LVIII, LLC (NPI# 1629600937) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1629600937 |
Entity Type | Organization |
Organization Name | BHG LVIII, LLC |
Practice Address |
628 Jefferson Ave Paintsville KY 41240-1471 |
Mailing Address |
5001 Spring Valley Rd Ste 600 Dallas TX 75244-3946 |
Practice Telephone | 6067896966 |
Practice Fax Number | 6067897466 |
Mailing Telephone | 2143656100 |
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 |
1588296701 | Bhg Lviii, LLC | Clinic/Center | 48 Independence Dr, Hazard, KY 41701-9443 | 2020-02-05 |
1881226090 | Bhg Lviii, LLC | Clinic/Center | 368 S Mayo Trl, Pikeville, KY 41501-1522 | 2020-02-05 |
1659902096 | Bhg Lviii, LLC | Clinic/Center | 1736 Alexandria Dr Ste 225, Lexington, KY 40504-3159 | 2020-02-03 |
Street Address |
628 JEFFERSON AVE |
City | PAINTSVILLE |
State | KY |
Zip Code | 41240-1471 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871927434 | Barbara Sue Ousley | Counselor | 628 Jefferson Ave, Paintsville, KY 41240-1471 | 2013-08-30 |
1336750884 | Kathryn Danielle Daniel | Counselor | 628 Jefferson Ave, Paintsville, KY 41240-1471 | 2020-08-10 |
1649880170 | Bradley Allen Sansom | Counselor | 628 Jefferson Ave, Paintsville, KY 41240-1471 | 2020-08-10 |
1578173084 | Gabrielle Waddles | Counselor | 628 Jefferson Ave, Paintsville, KY 41240-1471 | 2020-08-10 |
1386166437 | Clayton Thomas Osborne | Counselor | 628 Jefferson Ave, Paintsville, KY 41240-1471 | 2017-07-11 |
1700323219 | Melissa A Gowett | Counselor | 628 Jefferson Ave, Paintsville, KY 41240-1471 | 2017-01-22 |
1477099521 | Rebecca Ann Goble | Counselor | 628 Jefferson Ave, Paintsville, KY 41240-1471 | 2017-01-13 |
1578928693 | Franklin Jarrell | Counselor | 628 Jefferson Ave, Paintsville, KY 41240-1471 | 2015-12-16 |
1083006340 | Heather Hernandez | Counselor | 628 Jefferson Ave, Paintsville, KY 41240-1471 | 2015-02-24 |
1487065348 | Gary Shawn Holbrook | Counselor | 628 Jefferson Ave, Paintsville, KY 41240-1471 | 2014-05-14 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407337579 | Angela Suzanne Fitch | Nurse Practitioner | 604 James S. Trimble Blvd, Suite 2, Paintsville, KY 41240 | 2018-08-27 |
1013446764 | Jimmy Woodrow Arnett | Counselor | 1032 Broadway St, Paintsville, KY 41240 | 2017-06-07 |
1073982914 | Heather Dawn Eperson | Nurse Practitioner | 604 James S Trimble Blvd, Suite 1, Paintsville, KY 41240 | 2015-09-22 |
1568808640 | Bhg Xxiv, LLC | Case Management | 628 Jefferson Avenue, Paintsville, KY 41240 | 2013-05-16 |
1275882375 | Carol Booth | Speech-Language Pathologist | 1025 Euclid Avenue, Paintsville, KY 41240 | 2012-09-05 |
1467601898 | Johnson County Health Dept | Public Health or Welfare | 649 Us Hwy 23 South, Staffordsville, KY 41240 | 2008-09-10 |
1033367560 | Johnson County Health Dept | Public Health or Welfare | 257 North Mayo Trail, Paintsville, KY 41240 | 2008-09-09 |
1770730038 | Johnson County Health Dept | Public Health or Welfare | 1715 Euclid Ave., Paintsville, KY 41240 | 2008-08-19 |
1720234958 | Johnson County Health Dept | Public Health or Welfare | 251 North Mayo Trail, Paintsville, KY 41240 | 2008-08-07 |
1689795619 | Crigger Mullins Speech Therapy Services Psc | Speech-Language Pathologist | 512 Elm St, Paintsville, KY 41240 | 2007-04-03 |
Find all providers in zip 41240 |
Taxonomy Code | 261QR0405X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rehabilitation, Substance Use Disorder |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447858642 | Salem Health Care Group LLC | Clinic/Center | 501 North Hayden Avenue, Salem, KY 42028 | 2020-10-12 |
1053934836 | Roaring Brook LLC | Clinic/Center | 600 Perimeter Dr Ste 125, Lexington, KY 40517-4296 | 2020-05-27 |
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 |
Find all providers with the same taxonomy |
City | PAINTSVILLE |
Zip Code | 41240 |
Please comment or provide details below to improve the information on BHG LVIII, LLC.
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.