Active NPI
BHG Lxxxi, LLC
- Substance Use Disorder Rehabilitation Clinic/Center
- Clyde, NC
National Provider Identifier
1063128338
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/Center
- Legal business name
- BHG LXXXI, LLC
- Practice address
- 414 Hospital Drive
Obot Room #100
Clyde, NC 28721-8026 - Phone
- (828) 454-0560
- Fax
- (828) 456-8009
- NPI assigned
- Jan 30, 2023
- Organization subpart
- No
NPPES NPI Registry
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
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | |||
| Methadone Clinic | 261QM2800X | |||
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | Primary |
Addresses
Primary practice location
414 Hospital Drive
Obot Room #100
Clyde, NC 28721-8026
Mailing address
5001 Spring Valley Road
Suite 600 East
Dallas, TX 75244-3946
Phone (214) 365-6100
Other names 1
- BHG Medical Services - North Carolina
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 34D2288672 | BHG Lxxxi LLC D/B/Abhg Medical Services | Certificate of waiver | Aug 28, 2027 |
National Provider Directory
National Provider DirectoryLocations
414 Hospital Dr
Rm 100
Clyde, NC 28721
Phone (828) 454-0560
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675036800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1734912000000",
"number": "1063128338",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5001 SPRING VALLEY ROAD",
"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": "414 HOSPITAL DRIVE",
"address_2": "OBOT ROOM #100",
"city": "CLYDE",
"state": "NC",
"postal_code": "287218026",
"telephone_number": "828-454-0560",
"fax_number": "828-456-8009"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BHG LXXXI, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-01-30",
"last_updated": "2024-12-23",
"certification_date": "2024-12-23",
"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": null,
"license": null,
"primary": false
},
{
"code": "261QM2800X",
"taxonomy_group": "",
"desc": "Clinic/Center, Methadone",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "BHG Medical Services - North Carolina",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "BHG Medical Services - North Carolina",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Clyde, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.