KIVA RECOVERY LLC (NPI# 1639415318) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639415318 |
| Entity Type | Organization |
| Organization Name | KIVA RECOVERY LLC |
| Practice Address |
935 Lakeview Parkway Suite 101 Vernon Hills IL 60061 |
| Mailing Address |
5611 Dempster C/o Damzn Healthcare Morton Grove IL 60053 |
| Practice Telephone | 8475491500 |
| Mailing Telephone | 2244702044 |
| Enumeration Date | 2012-12-27 |
| Last Update Date | 2015-12-21 |
| Authorized Official Name | MR. JONATHAN AARON (PRESIDENT) |
| Authorized Official Telephone | 2244702044 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
A-6962-0001-A | IL | Ambulatory Health Care Facilities |
| Street Address |
935 LAKEVIEW PARKWAY SUITE 101 |
| City | VERNON HILLS |
| State | IL |
| Zip Code | 60061 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609827344 | Icardia Healthcare Corp. | Physiological Laboratory | 935 Lakeview Parkway, Suite 198, Vernon Hills, IL 60061 | 2006-05-15 |
| 1194050120 | Jennifer K Laube | Physical Therapist | 935 Lakeview Parkway, Ste 195, Vernon Hills, IL 60062 | 2009-10-08 |
| 1780832782 | Michael J Reid | Physical Therapist | 935 Lakeview Parkway, Ste 195, Vernon Hills, IL 60061 | 2008-09-03 |
| 1235240037 | Praxis Physical Therapy and Human Performance PC | Physical Therapist | 935 Lakeview Parkway, Suite 195, Vernon Hills, IL 60061 | 2006-08-31 |
| 1841301645 | Christina M Ferguson | Physical Therapist | 935 Lakeview Parkway, Suite 195, Vernon Hills, IL 60661 | 2006-08-31 |
| 1255442950 | Michael E Kordecki | Physical Therapist | 935 Lakeview Parkway, Suite 195, Vernon Hills, IL 60061 | 2006-08-31 |
| 1346359965 | Beth R Papke | Physical Therapist | 935 Lakeview Parkway, Suite 195, Vernon Hills, IL 60061 | 2006-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841833399 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | Milwaukee Ave & E Towline Rd #e1600, Vernon Hills, IL 60061 | 2019-10-28 |
| 1124423769 | Deborah Randall | Pharmacist | 706 Summit Ln, Vernon Hills, IL 60061 | 2014-10-24 |
| 1902217938 | Alexandra Kohl Brady | Pediatrics | 830 W End Ct Ste 500, Vernon Hills, IL 60061 | 2014-05-13 |
| 1467862508 | Michelle Bistany | Counselor | 24647 North Milwaukee Avenue, Vernon Hills, IL 60061 | 2014-04-29 |
| 1740540913 | Serge Sorokin | Counselor | 565 Lakeview Parkway, Suite 105, Vernon Hills, IL 60061 | 2012-05-22 |
| 1972878304 | Valerie L Mayer | Counselor | 24647 N. Milwaukee Ave, Vernon Hills, IL 60061 | 2012-03-19 |
| 1407158033 | Ziemowit Mazur | Physician Assistant | 230 Center Drive, Vernon Hills, IL 60061 | 2010-12-02 |
| 1841508249 | Mandy L Imai | Speech-Language Pathologist | 200 N. Fairway Drive Ste 208, Vernon Hills, IL 60061 | 2010-09-20 |
| 1811203268 | Sarah E. Anderson | Occupational Therapist | 200 N. Fairway Drive, Suite 208, Vernon Hills, IL 60061 | 2010-08-24 |
| 1679898969 | Mussie Beraki | Internal Medicine | 6e Phillip Road Suite 1104, Vernon Hills, IL 60061 | 2010-03-30 |
| Find all providers in zip 60061 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689273153 | Navis Health LLC | Clinic/Center | 2602 Rolling Acres Dr, Champaign, IL 61822-7240 | 2020-10-25 |
| 1164036661 | Existential Counselor Societ Ltd. | Clinic/Center | 1225 Richards St, Joliet, IL 60433-2745 | 2020-09-02 |
| 1457964934 | Rosecrance Inc | Clinic/Center | 15 N Galena Ave, Freeport, IL 61032-4348 | 2020-08-25 |
| 1922617133 | Recovery Concepts Urbana, LLC | Clinic/Center | 710 W. Killarney St., Urbana, IL 61801 | 2020-07-24 |
| 1174148167 | Associates In Behavioral Health Care | Clinic/Center | 910 Lake St Ste 102, Roselle, IL 60172-3384 | 2020-06-15 |
| 1538784533 | Associates In Behavioral Health Care | Clinic/Center | 1375 E Schaumburg Rd Ste 120, Schaumburg, IL 60194-3643 | 2020-06-15 |
| 1265056964 | Gateway Foundation, Inc. | Clinic/Center | 3040 Finley Rd, Downers Grove, IL 60515-5713 | 2020-05-29 |
| 1922634021 | Lutheran Social Services of Illinois | Clinic/Center | 400 N Cherry St, Morrison, IL 61270-2605 | 2020-03-20 |
| 1144852260 | Vincent Wallace | Clinic/Center | 226 W Ontario St, Chicago, IL 60654-3619 | 2020-02-06 |
| 1093354037 | A Bridge Back, Inc. | Clinic/Center | 314 Mchenry Rd, Buffalo Grove, IL 60089-2428 | 2019-12-21 |
| Find all providers with the same taxonomy | ||||
| City | VERNON HILLS |
| Zip Code | 60061 |
Please comment or provide details below to improve the information on KIVA RECOVERY LLC.
| 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.