NPIMap

Vcphcs XII, LLC

Organization Active NPI Substance Use Disorder Rehabilitation Clinic/Center · Denver, CO

NPI 1194443804 · NPPES record last updated Dec 26, 2024

Key facts

NPI
1194443804
Entity type
Organization (NPI type 2)
Primary specialty
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X
Legal business name
VCPHCS XII, LLC
Practice address
5250 Leetsdale Dr Ste 220
Denver, CO 80246-1451
Phone
(303) 629-5293
NPI assigned
Aug 18, 2022
Organization subpart
No

Authorized official

Name
Jay Higham
Title
Ceo
Phone
(214) 365-6112

Other NPIs on the same Medicare enrollment 5

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

Practitioners 23

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled in CO

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20151202000475 CO Part B Supplier - Clinic/Group Practice 7113227877 Receives reassigned benefits from 19 practitioners
5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Centennial, CO; Colorado Springs, CO; Denver, CO

National Provider Directory

Locations

4157 Centennial Blvd
Colorado Springs, CO 80907
Phone (719) 598-9750

5250 Leetsdale Dr
#220
Denver, CO 80246
Phone (303) 629-5293

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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

5250 Leetsdale Dr Ste 220
Denver, CO 80246-1451

Mailing address

5001 Spring Valley Road
Suite 600 East
Dallas, TX 75244
Phone (512) 966-1235

Other names

  • BHG Denver Treatment Center Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 26, 2024.

{
    "created_epoch": "1660780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735171200000",
    "number": "1194443804",
    "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": "75244",
            "telephone_number": "512-966-1235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5250 LEETSDALE DR STE 220",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802461451",
            "telephone_number": "303-629-5293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VCPHCS XII, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-18",
        "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 Denver Treatment Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BHG Denver Treatment Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Denver, CO

All providers in Denver, CO · Substance Use Disorder Rehabilitation Clinic/Center in Colorado

Sources for this page

Verify at the official NPI Registry.