Bhg Xlv, Llc

LBN: Bhg Xlv, Llc
Bhg Xlv, Llc is an health care organization with primary practice located at 2402 Tift Ave N Suite 202, Tifton GA 31794-1883. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Methadone, Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder. Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder is the primary health care specialty. Bhg Xlv, Llc can be contacted via phone (757) 962-0748, or through Gasaway, Jemece Michelle via phone (214) 365-6126.

Contact Information

Primary practice address
2402 Tift Ave N Suite 202 Tifton GA 31794-1883
Phone: (757) 962-0748
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Gasaway, Jemece Michelle
Phone: (214) 365-6126

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X NTP001047 Georgia
Ambulatory Health Care Facilities / Methadone 261QM2800X NTP001047 Georgia
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X NTP001047 Georgia

Profile Details

NPI number 1992241400
LBN Legal business name Bhg Xlv, Llc
DBA Doing business as
Authorized official Gasaway, Jemece Michelle
Entity Organization
Organization subpart 1 No
Enumeration date Jan 9th, 2017
Last updated Feb 20th, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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