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BHG LXVII, LLC
NPI 1275316697
Clinic/Center - Multi-Specialty in Fort Wayne, IN

Active since August 17, 2023CLIA 15D2305219 · Waiver
3910 LIMA ROAD, OBOT ROOM 100, FORT WAYNE, IN 46805(260) 420-6010(260) 420-9020 Get Directions Write a Review

NPPES record last updated: September 22, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 26, 2025, Dec 26, 2024, Sep 23, 2024 and 1 more (4 updates tracked since 2023).

About Bhg Lxvii, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BHG LXVII, LLC (NPI 1275316697), doing business as Bhg Medical Services - Indiana, is a healthcare organization registered as a multi-specialty in Fort Wayne, Indiana and active in the NPI registry since August 2023. The organization holds a CLIA Waiver certificate valid through May 27, 2028 and lists Anthony Kilgore, Ceo, as its authorized official.

NPPES Registry Identity

NPI1275316697
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameBHG LXVII, LLC
Location Address3910 LIMA ROAD, OBOT ROOM 100Fort Wayne, IN 46805-1031
Mailing Address5001 Spring Valley Rd Ste 600Dallas, TX 75244-3946 · (214) 365-6100 · Fax (214) 365-6150
Phone(260) 420-6010
Fax(260) 420-9020
Organization SubpartNo
Authorized OfficialAnthony KilgoreCeo · (214) 365-6112
Enumeration DateAugust 17, 2023
Last NPPES UpdateSeptember 22, 20254 updates tracked since enumeration
NPPES CertifiedSeptember 22, 2025
✔ NPI 1275316697 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 9

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X
Also ListedPsychologist · Addiction (Substance Use Disorder)Taxonomy 103TA0400X
Also ListedFamily Medicine · Addiction MedicineTaxonomy 207QA0401X
Also ListedInternal Medicine · Addiction MedicineTaxonomy 207RA0401X
Also ListedPreventive Medicine · Addiction MedicineTaxonomy 2083A0300X
Also ListedPsychiatry & Neurology · Addiction MedicineTaxonomy 2084A0401X
Also ListedNurse PractitionerTaxonomy 363L00000X
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X
3910 LIMA ROAD, Fort Wayne, IN 46805
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Other Names 1

Doing Business AsBhg Medical Services - Indiana

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 15D2305219

Bhg Lxvii, LLC D/B/A Bhg Medical Services - Indiana · Fort Wayne, IN
Active · expires May 27, 2028
CLIA Number15D2305219
Laboratory TypeOffice Based Opioid Treat
Certificate Effective DateMay 28, 2026
Certificate Expiration DateMay 27, 2028
Laboratory DirectorMichelle Nestleroad
Laboratory Phone(260) 420-6010
Laboratory LocationBhg Lxvii, LLC D/B/A Bhg Medical Services - Indiana3910 Lima Road, Obot Room #100, Fort Wayne, IN 46805
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bhg Lxvii, LLC's NPI number?

The NPI number for Bhg Lxvii, LLC is 1275316697. It was assigned to this organization in the NPPES registry on August 17, 2023. The provider is doing business as BHG Medical Services - Indiana.

Where is Bhg Lxvii, LLC located?

Bhg Lxvii, LLC is located at 3910 Lima Road Obot Room 100, Fort Wayne, IN 46805. The listed phone number is (260) 420-6010.

What is Bhg Lxvii, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Does Bhg Lxvii, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D2305219) is associated with this NPI, valid through May 27, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Bhg Lxvii, LLC was last updated on September 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.