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BHG MEDICAL SERVICES - RHODE ISLAND
NPI 1902516917
Clinic/Center - Rehabilitation, Substance Use Disorder in Pawtucket, RI

Active since November 30, 2022CLIA 41D2302940 · Waiver
82 POND ST RM 100, PAWTUCKET, RI 02860(401) 727-1287(401) 727-1289 Get Directions Write a Review

NPPES record last updated: December 23, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 23, 2024, Sep 23, 2024, May 1, 2024 and 3 more (6 updates tracked since 2022).

About Bhg Medical Services - Rhode Island NPPES

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

BHG MEDICAL SERVICES - RHODE ISLAND (NPI 1902516917) is a healthcare organization registered as a rehabilitation, substance use disorder in Pawtucket, Rhode Island and active in the NPI registry since November 2022. The organization holds a CLIA Waiver certificate valid through April 17, 2028 and lists Jay Higham, Ceo, as its authorized official.

NPPES Registry Identity

NPI1902516917
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameBHG LXXIX, LLC
Location Address82 POND ST RM 100Pawtucket, RI 02860-4462
Mailing Address5001 Spring Valley Road, Suite 600 EastDallas, TX 75244-3946 · (214) 365-6100 · Fax (214) 365-6150
Phone(401) 727-1287
Fax(401) 727-1289
Organization SubpartNo
Authorized OfficialJay HighamCeo · (214) 365-6112
Enumeration DateNovember 30, 2022
Last NPPES UpdateDecember 23, 20246 updates tracked since enumeration
NPPES CertifiedDecember 23, 2024
✔ NPI 1902516917 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
Also ListedSpecialistTaxonomy 174400000X
Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X
Also ListedClinic/Center · MethadoneTaxonomy 261QM2800X
82 POND ST RM 100, Pawtucket, RI 02860
Open in Google Maps ↗

Other Names 1

Doing Business AsBhg Medical Services - Rhode Island

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 41D2302940

Bhg Lxxix, LLC D/B/A Bhg Medical Services - Rhode Island · Pawtucket, RI
Active · expires Apr 17, 2028
CLIA Number41D2302940
Laboratory TypeOffice Based Opioid Treat
Certificate Effective DateApril 18, 2026
Certificate Expiration DateApril 17, 2028
Laboratory DirectorRandy Rauso
Laboratory Phone(401) 727-1287
Laboratory LocationBhg Lxxix, LLC D/B/A Bhg Medical Services - Rhode Island82 Pond St, Obot Room #100, Pawtucket, RI 02860
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions

What is BHG LXXIX, LLC's NPI number?

The NPI number assigned to this healthcare provider is 1902516917, enumerated as an "organization" on November 30, 2022.

Where is the provider located?

The provider is located at 82 POND ST RM 100 PAWTUCKET, RI 02860 and the phone number is (401) 727-1287.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QR0405X and a focus in Rehabilitation, Substance Use Disorder.