Active NPI
BHG Lvi, LLC
Doing business as BHG Providence Treatment Center
- Methadone Clinic
- Providence, RI
National Provider Identifier
1508499872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Methadone Clinic
- Legal business name
- BHG LVI, LLC
- Doing business as
- BHG Providence Treatment Center
- Practice address
- 160 Narragansett Ave
Providence, RI 02907-3367 - Phone
- (401) 941-4488
- NPI assigned
- Feb 14, 2020
- Last updated
- Feb 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
- Mrs. Jemece Michelle Gasaway, MSW. LMSW
- Title
- Director of Licensing
- Phone
- (337) 263-2971
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | |||
| Methadone Clinic | 261QM2800X | Primary | ||
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X |
Addresses
Primary practice location
160 Narragansett Ave
Providence, RI 02907-3367
Mailing address
5001 Spring Valley Rd Ste 600E
Dallas, TX 75244-8217
Phone (214) 365-6100
Other names 1
- BHG Providence Treatment Center
National Provider Directory
National Provider Directory- Tax ID family
- BHG Lvi LLC
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
dba BHG Westerly Treatment Center
- Substance Use Disorder Rehabilitation Clinic/Center
- Westerly, RI
- NPI 1871126144
Locations
5001 Spring Vly
Ste 600E
Dallas, TX 75244
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581638400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1581638400000",
"number": "1508499872",
"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": "160 NARRAGANSETT AVE",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029073367",
"telephone_number": "401-941-4488"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BHG LVI, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-02-14",
"last_updated": "2020-02-14",
"certification_date": "2020-02-14",
"status": "A",
"authorized_official_last_name": "GASAWAY",
"authorized_official_first_name": "JEMECE",
"authorized_official_middle_name": "MICHELLE",
"authorized_official_title_or_position": "DIRECTOR OF LICENSING",
"authorized_official_telephone_number": "337-263-2971",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "MSW. LMSW"
},
"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": true
},
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "BHG Providence Treatment Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.