BHG LXVII, LLC
NPI 1275316697
Clinic/Center - Multi-Specialty in Fort Wayne, IN
NPI Status: Active since August 17, 2023
Contact Information
3910 LIMA ROAD
OBOT ROOM 100
FORT WAYNE, IN
ZIP 46805
Phone: (260) 420-6010
Fax: (260) 420-9020
- Organization
- Clinic/Center
- Multi-Specialty
- CLIA Number: 15D2305219
- CLIA Cert. Type: Other - OFFICE BASED OPIOID TREAT
- CLIA Exp. Date: 05-27-2028
About BHG LXVII, LLC
This page provides the complete NPI Profile along with additional information for Bhg Lxvii, Llc, a provider established in Fort Wayne, Indiana operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1275316697 assigned on August 2023. The practitioner's primary taxonomy code is 261QM1300X. The provider is registered as an organization and their NPI record was last updated one year ago. Bhg Lxvii, Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's
- NPI
- 1275316697
- Provider Legal Name
- BHG LXVII, LLC
- Other Organization Name
- Other Name Type
- (6)
- Entity Type
- Organization
- Location Address
- 3910 LIMA ROAD OBOT ROOM 100 FORT WAYNE, IN 46805
- Location Phone
- (260) 420-6010
- Location Fax
- (260) 420-9020
- Mailing Address
- 5001 SPRING VALLEY RD STE 600 DALLAS, TX 75244
- Mailing Phone
- (214) 365-6100
- Mailing Fax
- (260) 420-9020
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-17-2023
- Last Update Date
- 09-22-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Multi-Specialty
- Taxonomy Code
- 261QM1300X
- Type
- Ambulatory Health Care Facilities
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 101YA0400X | Behavioral Health & Social Service Providers | Counselor | |
| 2 | 103TA0400X | Behavioral Health & Social Service Providers | Psychologist | |
| 3 | 207QA0401X | Allopathic & Osteopathic Physicians | Family Medicine | |
| 4 | 207RA0401X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 5 | 2083A0300X | Allopathic & Osteopathic Physicians | Preventive Medicine | |
| 6 | 2084A0401X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | |
| 7 | 363L00000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | |
| 8 | 363LP0808X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 15D2305219
- Facility Type
- Other - OFFICE BASED OPIOID TREAT
- Certificate Effective Date
- May 28, 2026
- Certificate Expiration Date
- May 27, 2028
- Laboratory Director
- MICHELLE NESTLEROAD
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Bhg Lxvii, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1275316697, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 63 is 70. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1275316697, enumerated as an "organization" on August 17, 2023.
The provider is located at 3910 LIMA ROAD OBOT ROOM 100 FORT WAYNE, IN 46805 and the phone number is (260) 420-6010.
Clinic/Center with taxonomy code 261QM1300X and a focus in Multi-Specialty.
