Vcphcs XII, LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

VCPHCS XII, LLC

Practice address

4157 Centennial Blvd
Colorado Springs, CO 80907-3767

Phone

(719) 598-9750

NPI assigned

Aug 25, 2022

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

Other names 1

• BHG Colorado Springs Treatment Center Doing business as

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Other NPIs on the same Medicare enrollment 5

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

• Vcphcs XII, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Denver, CO
  • NPI 1194443804

  O20151202000475

  Same enrollment
• Vcphcs XII, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Centennial, CO
  • NPI 1235673484

  O20151202000475

  Same enrollment
• Vcphcs XII, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Denver, CO
  • NPI 1326209925

  O20151202000475

  Same enrollment
• Vcphcs XII, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Colorado Springs, CO
  • NPI 1669020160

  O20151202000475

  Same enrollment
• Vcphcs XII, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Centennial, CO
  • NPI 1801515374

  O20151202000475

  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 Centennial Treatment Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Vcphcs XII, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Centennial, CO
  • NPI 1801515374
  NPD tax ID

Practitioners 3

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

• Sharon A Pendlebury, LCSW

  • Clinical Social Worker
  • Greeley, CO
  • NPI 1811953482
  NPD
• Virginia Lee Richey, DO

  • Family Medicine Physician
  • Denver, CO
  • NPI 1992969398
  NPD
• Blake Sterling Sanford, MD

  • Emergency Medicine Physician
  • Oak Park, IL
  • NPI 1306308408
  NPD

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

{
    "created_epoch": "1661385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735171200000",
    "number": "1407575111",
    "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": "4157 CENTENNIAL BLVD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809073767",
            "telephone_number": "719-598-9750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VCPHCS XII, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-25",
        "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 Colorado Springs Treatment Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BHG Colorado Springs Treatment Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Valerie Christine Vaziri
• Ivonne Elizabeth Vazquez Orona
• Alex Vazquez
• Celeste Vazquez
• Luis Vazquez
• Vcphcs XII, LLC
• Marissa Veach
• Anthony John Vecchiarelli, MD
• Arlette E Vega-Garcia
• Adam Vega, DDS

• Substance Use Disorder Rehabilitation Clinic/Center in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Colorado

• 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.