BHG LIX, LLC (NPI# 1982236345) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982236345 |
| Entity Type | Organization |
| Organization Name | BHG LIX, LLC |
| Practice Address |
110 Kingsley Ln Ste 410 Norfolk VA 23505-4618 |
| Mailing Address |
5001 Spring Valley Rd Ste 600 Dallas TX 75244-3946 |
| Practice Telephone | 2143656126 |
| Mailing Telephone | 2143656126 |
| Mailing Fax Number | 2143656150 |
| Enumeration Date | 2020-02-04 |
| Last Update Date | 2020-02-04 |
| 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 Virginia | Doing Business As Name - Organization |
| Street Address |
110 KINGSLEY LN STE 410 |
| City | NORFOLK |
| State | VA |
| Zip Code | 23505-4618 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154844256 | Cassandra Shelton | Specialist/Technologist, Other | 100 Kingsley Lane, Norfolk, VA 23505 | 2017-07-20 |
| 1063942852 | Gabriela Marie Santiago | Specialist/Technologist | 7600 Victory Dr, Apt 3, Norfolk, VA 23505 | 2017-06-14 |
| 1144776725 | Amr Hassan | Pharmacist | 1610 W Little Creek Rd, Apt 204, Norfolk, VA 23505 | 2016-09-01 |
| 1992175095 | Heather Mitchell | Nurse Practitioner | 110 Kingsley Ln Ste 309, Norfolk, VA 23505 | 2015-10-01 |
| 1255710620 | Jessica Ann Kestranek | Dentist | 7400 Granby St Ste D, Norfolk, VA 23505 | 2015-05-19 |
| 1710375274 | Carla Toledo | Nurse Practitioner | 155 Kingsley Lane, Suite 400, Norfolk, VA 23505 | 2015-01-06 |
| 1417359746 | James Austin Valone Jr. | Ophthalmology | 1423 Runymede Rd, Norfolk, VA 23505 | 2014-09-18 |
| 1861813370 | Harris Teeter, LLC | Pharmacy | 7550 Granby Street, Norfolk, VA 23505 | 2013-12-31 |
| 1649549361 | Linda Horsey | Social Worker | 7510 Granby Street, Suite 6, Norfolk, VA 23505 | 2011-12-27 |
| 1679705164 | Carolyn Lee Kee | Nurse's Aide | 7403 Hampton Blvd, Norfolk, VA 23505 | 2009-08-17 |
| Find all providers in zip 23505 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407496615 | Landmark Outpatient Services of Norfolk LLC | Clinic/Center | 1516 Harmon St, Norfolk, VA 23518-4056 | 2020-01-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417573585 | Culpeper Treatment Services LLC | Clinic/Center | 571 James Madison Hwy Ste D, Culpeper, VA 22701-2367 | 2020-06-24 |
| 1154967214 | Intergrated Medical Services, LLC | Clinic/Center | 7511 Donset Ct, Manassas, VA 20109-6200 | 2019-11-25 |
| 1871136143 | Apex Treatment Centers | Clinic/Center | 1230 Alverser Dr Ste 101, Midlothian, VA 23113-2653 | 2019-10-19 |
| 1598306649 | Catalyst Recovery and Wellness LLC | Clinic/Center | 9309 Center St Ste 101, Manassas, VA 20110-5599 | 2019-09-30 |
| 1073164539 | Southwest Virginia Community Health Systems Inc | Clinic/Center | 416 E Main St Rm 2, Marion, VA 24354-3318 | 2019-09-26 |
| 1134783194 | First Step Medical LLC | Clinic/Center | 754 East Main St., Lebanon, VA 24266-5014 | 2019-04-25 |
| 1740844067 | Appalachian Medical Associates LLC | Clinic/Center | 5453 Gov. G.c. Peery Hwy, Suite 1, Raven, VA 24639 | 2019-04-23 |
| 1386118248 | Pinnacle Treatment Centers Va-ii, LLC | Clinic/Center | 5408 Woolshire Dr, Glen Allen, VA 23059-3412 | 2019-01-14 |
| 1205306537 | Applegate Health Services, Inc | Clinic/Center | 210 Professional Park Dr Se Ste 9, Blacksburg, VA 24060-6649 | 2018-11-29 |
| 1881132231 | Cmb Holdings | Clinic/Center | 4420 Fairfax Dr, Suite 100, Arlington, VA 22203-1645 | 2017-02-06 |
| 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.