NPIMap

Organization Active NPI

BHG Xlii, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Chesapeake, VA
National Provider Identifier
1922584366
Registry record updated Dec 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
BHG XLII, LLC
Practice address
109 Wimbledon SQ Ste H
Chesapeake, VA 23320-4945
Phone
(757) 410-8244
NPI assigned
Jul 18, 2018
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Jay Higham
Title
Ceo
Phone
(214) 365-6112

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

  • BHG Xlii, LLC
    • Substance Use Disorder Rehabilitation Clinic/Center
    • Virginia Beach, VA
    • NPI 1003362484

    3779867049

    Same PAC ID
  • BHG Xlii, LLC
    • Substance Use Disorder Rehabilitation Clinic/Center
    • Franklin, VA
    • NPI 1063909943

    3779867049

    Same PAC ID
  • BHG Xlii, LLC
    • Substance Use Disorder Rehabilitation Clinic/Center
    • Newport News, VA
    • NPI 1598252330

    3779867049

    Same PAC ID
  • BHG Xlii, LLC
    • Substance Use Disorder Rehabilitation Clinic/Center
    • Glen Allen, VA
    • NPI 1932696770

    3779867049

    Same PAC ID

Practitioners 11

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

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D2152702BHG Xlii, LLC109 Wimbledon Square, Suite H, Chesapeake, VA 23320Certificate of waiverAug 13, 2026

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Opioid treatment program
Medicare-enrolled since Jan 1, 2020

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200123001711 VA Part B Supplier - Opioid Treatment Program (Otp) 3779867049 Practice locations: Chesapeake, VA

National Provider Directory

National Provider Directory
Tax ID family
BHG Chesapeake South Treatment Center6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

13100 Mountain Rd
Glen Allen, VA 23059
Phone 8042300999 ext. 224

Specialties & licenses 3

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Methadone Clinic 261QM2800X
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

NPPES NPI Registry

Primary practice location

109 Wimbledon SQ Ste H
Chesapeake, VA 23320-4945

Mailing address

5001 Spring Valley Road
Suite 600 East
Dallas, TX 75244
Phone (214) 365-6100

Other names 1

NPPES NPI Registry
  • BHG Chesapeake South Treatment Center Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 18, 2024.

{
    "created_epoch": "1531872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734480000000",
    "number": "1922584366",
    "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": "214-365-6100",
            "fax_number": "214-365-6150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 WIMBLEDON SQ STE H",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233204945",
            "telephone_number": "757-410-8244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BHG XLII, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-18",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "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 Chesapeake South Treatment Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chesapeake, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 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.