V COVINGTON, LLC (NPI# 1134634116) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134634116 |
| Entity Type | Organization |
| Organization Name | V COVINGTON, LLC |
| Other Organization Name | LAKE BEHAVIORAL HOSPITAL |
| Practice Address |
2615 Washington St Waukegan IL 60085-4980 |
| Mailing Address |
32 E 57th St Fl 17 New York NY 10022-8564 |
| Practice Telephone | 8472493900 |
| Mailing Telephone | 2122435565 |
| Mailing Fax Number | 2122431099 |
| Enumeration Date | 2017-12-12 |
| Last Update Date | 2019-03-25 |
| Authorized Official Name | DR. RICHARD KRESCH (PRESIDENT) |
| Authorized Official Telephone | 2122435565 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 283Q00000X | Psychiatric Hospital | Hospitals |
| Other Name | Type Code |
|---|---|
| LAKE BEHAVIORAL HOSPITAL | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497252449 | V Covington, LLC | Psychiatry & Neurology | 2615 Washington St, Waukegan, IL 60085-4980 | 2018-04-06 |
| Street Address |
2615 WASHINGTON ST |
| City | WAUKEGAN |
| State | IL |
| Zip Code | 60085-4980 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780684670 | Himani D. Dalia | Pathology | 2615 Washington St, St. Therese Medical Center, Waukegan, IL 60085-4980 | 2005-07-21 |
| 1194215137 | Hope Psychiatry Sc | Psychiatry & Neurology | 2615 Washington St, Waukegan, IL 60085-4980 | 2018-05-15 |
| 1497252449 | V Covington, LLC | Psychiatry & Neurology | 2615 Washington St, Waukegan, IL 60085-4980 | 2018-04-06 |
| 1366896631 | Jennifer Luzentales | Nurse Practitioner | 2615 Washington St, Waukegan, IL 60085-4980 | 2016-04-22 |
| 1508220989 | Vista Health System | Clinic/Center | 2615 Washington St, Waukegan, IL 60085-4980 | 2016-04-11 |
| 1821463787 | Eva Amber Frasca | Nurse Practitioner | 2615 Washington St, Waukegan, IL 60085-4980 | 2015-12-03 |
| 1932578366 | Wendy Piekarz | Dietitian, Registered | 2615 Washington St, Waukegan, IL 60085-4980 | 2015-09-16 |
| 1497017230 | Anterpreet Dhanoyia | Psychiatry & Neurology | 2615 Washington St, Waukegan, IL 60085-4980 | 2012-06-07 |
| 1386845246 | Bridgid Silvela-bacaling | Nurse Practitioner | 2615 Washington St, Waukegan, IL 60085-4980 | 2007-05-29 |
| 1992856819 | Waukegan Illinois Hospital Company LLC | General Acute Care Hospital | 2615 Washington St, Waukegan, IL 60085-4980 | 2007-01-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285285189 | Allison Rose Matuszewski | Speech-Language Pathologist | Robbie M. Lightfoot, 1721 N Mcaree Rd, Waukegan, IL 60085 | 2019-09-23 |
| 1164985602 | Kristin Kaprak | Speech-Language Pathologist | Thomas Jefferson Middle School, 600 S. Lewis, Waukegan, IL 60085 | 2019-04-11 |
| 1861972317 | Mitchum Smith | Student in an Organized Health Care Education/Training Program | 2025 Washington Street, Waukegan, IL 60085 | 2018-08-15 |
| 1447702998 | Rachel Martinez | Registered Nurse | 3002 Grand Ave., Waukegan, IL 60085 | 2016-11-01 |
| 1831649250 | Kenneth Caples | Specialist/Technologist | 211 S County St, Waukegan, IL 60085 | 2016-10-10 |
| 1033666490 | Catholic Charities of The Archdiocese of Chicago | Community/Behavioral Health | 671 S. Lewis Ave., Waukegan, IL 60085 | 2016-09-02 |
| 1285007757 | Michael Moore | Counselor | 1113 Greenwood Ave, Waukegan, IL 60085 | 2015-11-05 |
| 1740656503 | Emperatriz Guerra | Counselor | 329 N. Genesee Street, Waukegan, IL 60085 | 2015-08-17 |
| 1992189880 | County of Lake | Clinic/Center | 540 S. Mcalister Ave., Waukegan, IL 60085 | 2015-07-10 |
| 1922406354 | Ebele Okonkwor | Nurse Anesthetist, Certified Registered | 1324 N. Sheridan, Waukegan, IL 60085 | 2014-12-17 |
| Find all providers in zip 60085 | ||||
| Taxonomy Code | 283Q00000X |
| Grouping | Hospitals |
| Classification | Psychiatric Hospital |
| An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. |
| Notes: Source: Expanded from Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194359489 | Insight:eating Disorders, Weight Management & Psychological Centers | Psychiatric Hospital | 1 E. Erie Street, 4th Floor, Chicago, IL 60611 | 2020-02-26 |
| 1821491960 | Latoya Bragg-finch | Psychiatric Hospital | 6302 Dolores Dr, Oak Forest, IL 60452-2718 | 2014-10-03 |
| 1790197978 | Aurora Chicago Lakeshore Hospital, LLC | Psychiatric Hospital | 4720 Clarendon Road, Chicago, IL 60640-7860 | 2014-05-22 |
| 1336475003 | R A Clinic for Psychiatric Care LLC | Psychiatric Hospital | 3147 Treesdale Ct, Naperville, IL 60564-4609 | 2009-10-30 |
| 1437315017 | Northwestern Memorial Hospital | Psychiatric Hospital | 446 E Ontario St Ste 7-200, Chicago, IL 60611-4418 | 2008-08-01 |
| 1033397138 | Springfield Hospital, Inc. | Psychiatric Hospital | 5230 S 6th Street Rd, Springfield, IL 62703-5128 | 2008-01-31 |
| 1609072313 | Mount Sinai Community Foundation | Psychiatric Hospital | 2040 W Washington Blvd, Chicago, IL 60612-2429 | 2007-06-21 |
| 1417070137 | Elmhurst Memorial Guidance Services | Psychiatric Hospital | 183 North York Road, Elmhurst, IL 60126 | 2007-04-09 |
| 1013017839 | Alexian Brothers Behavioral Health Hospital | Psychiatric Hospital | 1650 Moon Lake Boulevard, Hoffman Estates, IL 60169 | 2006-09-22 |
| 1659338168 | Aurora Chicago Lakeshore Hospital LLC | Psychiatric Hospital | 4840 N Marine Dr, Chicago, IL 60640-7860 | 2006-04-27 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.