BHG Xlii, LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

License

2967 Issued in VA

Legal business name

BHG XLII, LLC

Practice address

5715 Princess Anne Rd
Virginia Beach, VA 23462-3222

Phone

(757) 962-0748

NPI assigned

Aug 26, 2016

Last updated

Dec 18, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jay Higham

Title

Ceo

Phone

(214) 365-6112

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in VA2 enrollments

Opioid treatment program

Medicare-enrolled since Jan 1, 2020

Enrollment records 2

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• BHG Xlii, LLC

  dba BHG Franklin Treatment Center

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Franklin, VA
  • NPI 1063909943

  3779867049

  Same PAC ID
• BHG Xlii, LLC

  dba BHG Newport News Treatment Center

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Newport News, VA
  • NPI 1598252330

  3779867049

  Same PAC ID
• BHG Xlii, LLC

  dba BHG Chesapeake South Treatment Center

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Chesapeake, VA
  • NPI 1922584366

  3779867049

  Same PAC ID
• BHG Xlii, LLC

  dba BHG Glen Allen Treatment Center

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Glen Allen, VA
  • NPI 1932696770

  3779867049

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

BHG Chesapeake South Treatment Center6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

• BHG Xlii, LLC

  dba BHG Franklin Treatment Center

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Franklin, VA
  • NPI 1063909943
  NPD tax ID
• BHG Xlii, LLC

  dba BHG Staunton Treatment Center

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Verona, VA
  • NPI 1164067179
  NPD tax ID
• BHG Xlii, LLC

  dba BHG Newport News Treatment Center

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Newport News, VA
  • NPI 1598252330
  NPD tax ID
• BHG Xlii, LLC

  dba BHG Chesapeake South Treatment Center

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Chesapeake, VA
  • NPI 1922584366
  NPD tax ID
• BHG Xlii, LLC

  dba BHG Glen Allen Treatment Center

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Glen Allen, VA
  • NPI 1932696770
  NPD tax ID

Locations

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Alecia Sheree Ball

  • Psychiatric/Mental Health Nurse Practitioner
  • Newport News, VA
  • NPI 1558906313
  Medicare reassignment NPD
• Noelle Green, NP

  • Nurse Practitioner
  • Hampton, VA
  • NPI 1649766569

  Single Specialty

  Medicare reassignment NPD
• Rose M Jacques, PMHNP-BC, FNP-C

  • Family Nurse Practitioner
  • Chesapeake, VA
  • NPI 1871041376
  Medicare reassignment NPD
• Julian S Ku, M.D.

  • General Practice Physician
  • Norfolk, VA
  • NPI 1922386291
  Medicare reassignment NPD
• Brian Philip Murray, MD

  • Anesthesiology Physician
  • Virginia Beach, VA
  • NPI 1831233873
  Medicare reassignment NPD
• Latoya Loren Price, FNP

  • Family Nurse Practitioner
  • Chesapeake, VA
  • NPI 1578120358
  Medicare reassignment NPD
• Craig W Swainey, MD

  • Child & Adolescent Psychiatry Physician
  • Richmond, VA
  • NPI 1437367414
  Medicare reassignment NPD
• Veronica Williams, FNP

  • Nurse Practitioner
  • Chesapeake, VA
  • NPI 1760052146
  Medicare reassignment NPD
• Kenneth Brown, MD

  • Emergency Medicine Physician
  • Cherry Hill, NJ
  • NPI 1164521084

  VA

  Medicare reassignment NPD
• Kristina Cooper, AGPCNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Tampa, FL
  • NPI 1801444377

  VA

  Medicare reassignment NPD
• Stephanie L Peglow, DO

  • Psychiatry Physician
  • Hampton, VA
  • NPI 1225354426
  NPD (past)
• Mary Rose Tidoe, APRN

  • Family Nurse Practitioner
  • Danville, VA
  • NPI 1073142881
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1472169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734480000000",
    "number": "1003362484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5001 SPRING VALLEY RD",
            "address_2": "SUITE 600 EAST",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752443946",
            "telephone_number": "214-365-6100",
            "fax_number": "214-365-6150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5715 PRINCESS ANNE RD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234623222",
            "telephone_number": "757-962-0748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BHG XLII, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-26",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A",
        "authorized_official_last_name": "HIGHAM",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "214-365-6112"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "VA",
            "license": "2967",
            "primary": false
        },
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": "VA",
            "license": "2967",
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "VA",
            "license": "2967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rashmi Bhatt, DDS
• Biswa Bhattacharyya, MD
• Siddharth Kishore Bhende, M.D.
• BHG Lix, LLC (BHG Medical Services Virginia Beach)
• BHG Lxxvi, LLC
• Minnie Bi, PT, DPT
• Lijun Bian, M.AC.
• Daryia Biarozkina
• Amy Bible, PHARM.D.
• Marko Bicanic, PTA

• Substance Use Disorder Rehabilitation Clinic/Center in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.