V COVINGTON LLC NPI 1134634116

NPI Information

  • NPI: 1134634116
  • Provider Name: V COVINGTON, LLC
  • Classification: Psychiatric Hospital - 283Q00000X
  • Entity Type: Organization
  • Doing Business As: LAKE BEHAVIORAL HOSPITAL
  • CLIA Number: 14D1066835
  • Address: 2615 WASHINGTON ST
    WAUKEGAN, IL
    ZIP 60085
  • Phone: (855) 990-1900

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NPI Details

V COVINGTON, LLC is a psychiatric hospital in Waukegan, IL. The provider is 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. V COVINGTON, LLC NPI is 1134634116. The provider is registered as an organization entity type.
The provider Is Doing Business As Lake Behavioral Hospital.

The provider's business location address is:

2615 WASHINGTON ST
WAUKEGAN, IL
ZIP 60085-980
Phone: (855) 990-1900
Fax: (847) 249-8747

The provider's authorized official is Richard A Kresch .
The authorized official title is Manager and has the following contact phone number (212) 243-5565.

The CLIA number assigned to this NPI record is 14D1066835 - hospital with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/12/2017 and was last updated on 6/10/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1283Q00000XPsychiatric HospitalYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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