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

Q: What is Bhg Lxxix, LLC's NPI number?

The NPI number for Bhg Lxxix, LLC is 1902516917. It was assigned to this organization in the NPPES registry on November 30, 2022. The provider is doing business as Bhg Medical Services - Rhode Island.

Q: What is Bhg Lxxix, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

Q: When was this NPI record last updated?

The NPPES record for Bhg Lxxix, LLC was last updated on December 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

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: August 16, 2026.

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

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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

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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 NPPES & CMS

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

What is Bhg Lxxix, LLC's NPI number?

The NPI number for Bhg Lxxix, LLC is 1902516917. It was assigned to this organization in the NPPES registry on November 30, 2022. The provider is doing business as Bhg Medical Services - Rhode Island.

Where is Bhg Lxxix, LLC located?

Bhg Lxxix, LLC is located at 82 Pond St Rm 100, Pawtucket, RI 02860. The listed phone number is (401) 727-1287.

What is Bhg Lxxix, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

Does Bhg Lxxix, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 41D2302940) is associated with this NPI, valid through April 17, 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 Lxxix, LLC was last updated on December 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.