BHG Lxxiv, LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

BHG LXXIV, LLC

Doing business as

BHG Medical Services - Missouri

Practice address

1639 Bruce Smith Pkwy
West Plains, MO 65775-7691

Phone

(417) 255-6441

Fax

(417) 256-0488

NPI assigned

Dec 7, 2022

Last updated

Dec 26, 2024By the provider in NPPES

Organization subpart

Yes

Parent organization

BHG LXXIV, LLCAs reported in NPPES

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 2

Addresses

Other names 1

• BHG Medical Services - Missouri Doing business as

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Other NPIs on the same Medicare enrollment 6

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

• BHG Lxxiv, LLC

  dba BHG Medical Services - Missouri

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Columbia, MO
  • NPI 1255042594

  O20230718001201

  Same enrollment
• BHG Lxxiv, LLC

  dba BHG Medical Services - Missouri

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Joplin, MO
  • NPI 1437860772

  O20230718001201

  Same enrollment
• BHG Lxxiv, LLC

  dba BHG Medical Services - Missouri

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Kansas City, MO
  • NPI 1528779873

  O20230718001201

  Same enrollment
• BHG Lxxiv, LLC

  dba BHG Medical Services - Missouri

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Poplar Bluff, MO
  • NPI 1629789961

  O20230718001201

  Same enrollment
• BHG Lxxiv, LLC

  dba BHG Medical Services - Missouri

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Springfield, MO
  • NPI 1982314175

  O20230718001201

  Same enrollment
• BHG Lxxiv, LLC

  dba BHG Medical Services - Missouri

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Springfield, MO
  • NPI 1982315230

  O20230718001201

  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 Lxxiv LLC7 organizations share this tax ID, including this one

Part of

BHG Lxxiv LLC

Other organizations with this tax ID 6

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

• BHG Lxxiv, LLC

  dba BHG Medical Services - Missouri

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Columbia, MO
  • NPI 1255042594
  NPD tax ID
• BHG Lxxiv, LLC

  dba BHG Medical Services - Missouri

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Joplin, MO
  • NPI 1437860772
  NPD tax ID
• BHG Lxxiv, LLC

  dba BHG Medical Services - Missouri

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Kansas City, MO
  • NPI 1528779873
  NPD tax ID
• BHG Lxxiv, LLC

  dba BHG Medical Services - Missouri

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Poplar Bluff, MO
  • NPI 1629789961
  NPD tax ID
• BHG Lxxiv, LLC

  dba BHG Medical Services - Missouri

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Springfield, MO
  • NPI 1982314175
  NPD tax ID
• BHG Lxxiv, LLC

  dba BHG Medical Services - Missouri

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Springfield, MO
  • NPI 1982315230
  NPD tax ID

Locations

Practitioners 19

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.

• Elaine Blevins, NP-C

  • Family Nurse Practitioner
  • Springfield, MO
  • NPI 1245471994
  NPD
• Sarah Canoy, MD

  • Psychiatry Physician
  • Columbia, MO
  • NPI 1639529746
  NPD
• Celeste Hope Williams, APRN

  • Family Nurse Practitioner
  • West Plains, MO
  • NPI 1689650855
  NPD
• Melissa Bassham

  • Registered Nurse
  • West Plains, MO
  • NPI 1750785499
  NPD (past)
• Michelle Bryan, RASAC1

  • Addiction (Substance Use Disorder) Counselor
  • West Plains, MO
  • NPI 1750827028
  NPD (past)
• William Carpenter

  • Psychiatry Physician
  • Columbia, MO
  • NPI 1164787594
  NPD (past)
• Nicole Costello, MS.PSY,CRADC,MOUD,CS

  • Community/Behavioral Health Agency
  • Joplin, MO
  • NPI 1013526318

  Methadone

  NPD (past)
• Becky A. Cumley, NP-C

  • Family Nurse Practitioner
  • Springfield, MO
  • NPI 1194966713
  NPD (past)
• Cheryl A Hemme, MD

  • Psychiatry Physician
  • Columbia, MO
  • NPI 1356399463
  NPD (past)
• Brittany Jackson, LPN

  • Licensed Practical Nurse
  • West Plains, MO
  • NPI 1467923458
  NPD (past)
• Tess Margaret Miley, MS, LPC

  • Professional Counselor
  • West Plains, MO
  • NPI 1881098515
  NPD (past)
• William Stines, LPN

  • Licensed Practical Nurse
  • West Plains, MO
  • NPI 1053789933
  NPD (past)

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

{
    "created_epoch": "1670371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735171200000",
    "number": "1710698055",
    "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": "752443946",
            "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": "1639 BRUCE SMITH PKWY",
            "city": "WEST PLAINS",
            "state": "MO",
            "postal_code": "657757691",
            "telephone_number": "417-255-6441",
            "fax_number": "417-256-0488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BHG LXXIV, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BHG LXXIV, LLC",
        "enumeration_date": "2022-12-07",
        "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": "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 Medical Services - Missouri",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BHG Medical Services - Missouri",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Arthur George Bentley, D.O.
• Carmen L Bentley
• Thomas Henry Benton, M.D.
• Lorrie Bettis
• Rebecca Kay Beville, MA, QMHP
• BHG Xxviii, LLC
• Bill Stafford, M.D. (Stafford Pediatrics)
• Bill Stafford, M.D. (Stafford Pediatrics)
• Bio-Medical Applications of Missouri, Inc. (Fresenius Medical Care West Plains Midwest)
• Bio-Medical Applications of Missouri, Inc. (Fresenius Medical Care West Plains)

• Substance Use Disorder Rehabilitation Clinic/Center in West Plains, MO
• Providers in West Plains, MO by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Missouri

• 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.