Active NPI
BHG Lxix, LLC
Doing business as BHG Huntsville Treatment Center
- Substance Use Disorder Rehabilitation Clinic/Center
- Huntsville, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/Center
- Legal business name
- BHG LXIX, LLC
- Doing business as
- BHG Huntsville Treatment Center
- Practice address
- 4040 Independence Dr NW
Huntsville, AL 35816-3012 - Phone
- (256) 721-1940
- Fax
- (256) 721-1934
- NPI assigned
- Apr 14, 2020
- 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
4040 Independence Dr NW
Huntsville, AL 35816-3012
Mailing address
5001 Spring Valley Rd Ste 600E
Dallas, TX 75244-8217
Phone (214) 365-6100
Other names 1
- BHG Huntsville Treatment Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Opioid treatment program
- Medicare-enrolled since Nov 11, 2020
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210318000365 | AL | Part B Supplier - Opioid Treatment Program (Otp) | 2264849272 | Practice locations: Huntsville, AL |
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 |
|---|---|---|---|
| 01D2158406 | BHG, Lxix, LLC | Certificate of waiver | Nov 27, 2026 |
National Provider Directory
National Provider Directory- Tax ID family
- BHG Huntsville Treatment Center
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba BHG Stevenson Treatment Center
- Substance Use Disorder Rehabilitation Clinic/Center
- Stevenson, AL
- NPI 1184257420
Locations
4040 Independence Dr NW
Huntsville, AL 35816
Phone (256) 721-1940
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Addiction Medicine (Preventive Medicine) Physician
- Edwards, CO
- NPI 1548564545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586822400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1735257600000",
"number": "1467071928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5001 SPRING VALLEY RD STE 600E",
"city": "DALLAS",
"state": "TX",
"postal_code": "752448217",
"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": "4040 INDEPENDENCE DR NW",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358163012",
"telephone_number": "256-721-1940",
"fax_number": "256-721-1934"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BHG LXIX, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-04-14",
"last_updated": "2024-12-27",
"certification_date": "2024-12-27",
"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 Huntsville Treatment Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Huntsville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 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.