Basic Information
Provider Information | |||||||||
NPI: | 1710323894 | ||||||||
EntityType: | 2 | ||||||||
ReplacementNPI: |   | ||||||||
OrganizationName: | BHG XXV, LLC | ||||||||
LastName: |   | ||||||||
FirstName: |   | ||||||||
MiddleName: |   | ||||||||
NamePrefix: |   | ||||||||
NameSuffix: |   | ||||||||
Credential: |   | ||||||||
OtherOrganizationName: | BHG PIKEVILLE TREATMENT CENTER | ||||||||
OtherOrganizationType: | 3 | ||||||||
OtherLastName: |   | ||||||||
OtherFirstName: |   | ||||||||
OtherMiddleName: |   | ||||||||
OtherNamePrefix: |   | ||||||||
OtherNameSuffix: |   | ||||||||
OtherCredential: |   | ||||||||
OtherLastNameType: |   | ||||||||
Mailing Information | |||||||||
Address1: | 5001 SPRING VALLEY ROAD | ||||||||
Address2: | SUITE 600 EAST | ||||||||
City: | DALLAS | ||||||||
State: | TX | ||||||||
PostalCode: | 75244 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 2143656150 | ||||||||
FaxNumber: | 2143656150 | ||||||||
Practice Location | |||||||||
Address1: | 368 SOUTH MAYO TRAIL | ||||||||
Address2: |   | ||||||||
City: | PIKEVILLE | ||||||||
State: | KY | ||||||||
PostalCode: | 41501 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 6064370047 | ||||||||
FaxNumber: | 6064370547 | ||||||||
Other Information | |||||||||
ProviderEnumerationDate: | 05/16/2013 | ||||||||
LastUpdateDate: | 02/21/2019 | ||||||||
NPIDeactivationReasonCode: |   | ||||||||
NPIDeactivationDate: |   | ||||||||
NPIReactivationDate: |   | ||||||||
ProviderGenderCode: |   | ||||||||
AuthorizedOfficialLastName: | GASAWAY | ||||||||
AuthorizedOfficialFirstName: | JEMECE | ||||||||
AuthorizedOfficialMiddleName: | MICHELLE | ||||||||
AuthorizedOfficialTitleorPosition: | DIRECTOR OF LICENSING | ||||||||
AuthorizedOfficialTelephone: | 2143656126 | ||||||||
IsSoleProprietor: |   | ||||||||
IsOrganizationSubpart: | N | ||||||||
ParentOrganizationLBN: |   | ||||||||
AuthorizedOfficialNamePrefix: |   | ||||||||
AuthorizedOfficialNameSuffix: |   | ||||||||
AuthorizedOfficialCredential: |   | ||||||||
NPICertificationDate: |   |
Taxonomy Information
Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 251B00000X | 800197 | KY | N |   | Agencies | Case Management |   | 261QM0801X |   |   | N |   | Ambulatory Health Care Facilities | Clinic/Center | Mental Health (Including Community Mental Health Center) | 261QM2800X | 810179 | KY | N |   | Ambulatory Health Care Facilities | Clinic/Center | Methadone Clinic | 261QR0405X |   | KY | Y |   | Ambulatory Health Care Facilities | Clinic/Center | Rehabilitation, Substance Use Disorder |
ID Information
ID | Type | State | Issuer | Description | 7100370840 | 05 | KY |   | MEDICAID |