Active NPI
BHG Xxxix, LLC
- Substance Use Disorder Rehabilitation Clinic/Center
- Aiken, SC
National Provider Identifier
1831545201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/Center
- License
- OTPN-0170
- Legal business name
- BHG XXXIX, LLC
- Practice address
- 410 University Pkwy
Suite 1560
Aiken, SC 29801-6810 - Phone
- (803) 641-6911
- Fax
- (803) 641-6595
- NPI assigned
- May 4, 2016
- 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 | OTPN-0170 | SC | |
| Methadone Clinic | 261QM2800X | OTPN-0170 | SC | |
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | OTPN-0170 | SC | Primary |
Addresses
Primary practice location
410 University Pkwy
Suite 1560
Aiken, SC 29801-6810
Mailing address
5001 Spring Valley Rd
Suite 600 East
Dallas, TX 75244-3946
Phone (214) 365-6100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Opioid treatment program
- Medicare-enrolled since Jan 1, 2020
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200109002769 | SC | Part B Supplier - Opioid Treatment Program (Otp) | 2466887963 | Practice locations: Aiken, SC |
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 |
|---|---|---|---|
| 42D2112955 | BHG Xxxix LLC, Dba BHG Aiken Treatment Center | Certificate of waiver | May 11, 2028 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatry Physician
- Beaufort, SC
- NPI 1831128958
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462320000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1735257600000",
"number": "1831545201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5001 SPRING VALLEY RD",
"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": "410 UNIVERSITY PKWY",
"address_2": "SUITE 1560",
"city": "AIKEN",
"state": "SC",
"postal_code": "298016810",
"telephone_number": "803-641-6911",
"fax_number": "803-641-6595"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BHG XXXIX, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-05-04",
"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": "SC",
"license": "OTPN-0170",
"primary": false
},
{
"code": "261QM2800X",
"taxonomy_group": "",
"desc": "Clinic/Center, Methadone",
"state": "SC",
"license": "OTPN-0170",
"primary": false
},
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": "SC",
"license": "OTPN-0170",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aiken, SC
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.