BHG Lxii LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

BHG LXII LLC

Practice address

1303 Line Ave Ste 600
Obot Room # 100
Shreveport, LA 71101-4638

Phone

(318) 425-3400

Fax

(318) 425-3447

NPI assigned

Nov 21, 2022

Organization subpart

Yes

Parent organization

BHG LXII LLCAs reported in NPPES

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

Other names 1

• BHG Medical Services - Louisiana Doing business as

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• BHG Lxii LLC

  • Multi-Specialty Clinic/Center
  • Lake Charles, LA
  • NPI 1396454013

  O20230109002208

  Same enrollment
• BHG Lxii LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Houma, LA
  • NPI 1487397030

  O20230109002208

  Same enrollment
• BHG Lxii LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • New Orleans, LA
  • NPI 1750090478

  O20230109002208

  Same enrollment
• BHG Lxii LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Gretna, LA
  • NPI 1851000574

  O20230109002208

  Same enrollment
• BHG Lxii LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Monroe, LA
  • NPI 1871202598

  O20230109002208

  Same enrollment

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 Med SVCS - New Orleans7 organizations share this tax ID, including this one

Part of

BHG Med SVCS - New Orleans

Other organizations with this tax ID 6

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

• BHG Lxii LLC

  • Multi-Specialty Clinic/Center
  • Lake Charles, LA
  • NPI 1396454013
  NPD tax ID
• BHG Lxii LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Houma, LA
  • NPI 1487397030
  NPD tax ID
• BHG Lxii LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • New Orleans, LA
  • NPI 1750090478
  NPD tax ID
• BHG Lxii LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Bogalusa, LA
  • NPI 1821731472
  NPD tax ID
• BHG Lxii LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Gretna, LA
  • NPI 1851000574
  NPD tax ID
• BHG Lxii LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Monroe, LA
  • NPI 1871202598
  NPD tax ID

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Daniel Bouchette

  • Family Medicine Physician
  • New Orleans, LA
  • NPI 1508808965
  NPD
• Traci Richards Burks, NURSE PRACTITIONER

  • Psychiatric/Mental Health Nurse Practitioner
  • Shreveport, LA
  • NPI 1528171899
  NPD

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

{
    "created_epoch": "1668988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735171200000",
    "number": "1134838857",
    "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": "1303 LINE AVE STE 600",
            "address_2": "OBOT ROOM # 100",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711014638",
            "telephone_number": "318-425-3400",
            "fax_number": "318-425-3447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BHG LXII LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BHG LXII LLC",
        "enumeration_date": "2022-11-21",
        "last_updated": "2024-12-26",
        "certification_date": "2024-12-26",
        "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 - Louisiana",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jatinder Bhardwaj, MD
• Anand Krishna Bhat, M.D.
• Jayalakshmi Bhat
• Ramachandra Bhat, M.D.
• Shahzeem Tajuddin Bhayani, M.D.
• Aakriti Bhusal
• Kamal Bhusal, MD
• Crystal Normand Bibbee, MSN, APRN, FNP-C
• Jontae Bibbins
• Adiba Bibi

• All providers in Shreveport, LA
• Substance Use Disorder Rehabilitation Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 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.