BHG Xlii, LLC
Organization Active NPI Substance Use Disorder Rehabilitation Clinic/Center · Verona, VA
NPI 1164067179 · NPPES record last updated Dec 18, 2024
Key facts
- NPI
- 1164067179
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X
- Legal business name
- BHG XLII, LLC
- Practice address
- 15 Green Hills Dr Ste 6-7
Verona, VA 24482-2674 - Phone
- (804) 230-0999
- NPI assigned
- Nov 13, 2019
- Organization subpart
- No
Authorized official
- Name
- Jay Higham
- Title
- Ceo
- Phone
- (214) 365-6112
Corporate family (same tax ID) 5
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 49D2135119 | Staunton Treatment Center, LLC | Certificate of waiver | Aug 14, 2027 |
National Provider Directory
- Tax ID family
- BHG Chesapeake South Treatment Center
Locations
15 Green Hills Dr
Ste 67
Verona, VA 24482
Phone (540) 217-6366
Specialties & licenses
| 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 | Yes |
Addresses
Primary practice location
15 Green Hills Dr Ste 6-7
Verona, VA 24482-2674
Mailing address
5001 Spring Valley Rd Ste 600E
Dallas, TX 75244-8217
Phone (214) 365-6126
Other names
- BHG Staunton Treatment Center
Other providers in Verona, VA
- Augusta Health Care, Inc
- Lauren Rene Bashlor
- Gretchen M Baugher
- Lacey Bauman
- Belmont Physical Therapy PC
- Betty J Bocchino Oshea
- Ryan E Bolena
- Amy Bowers
- Stephen James Brandis
- Calvano and Lagrua
All providers in Verona, VA · Substance Use Disorder Rehabilitation Clinic/Center in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 18, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.