NPIMap

Organization Active NPI

V Covington, LLC

Doing business as Lake Behavioral Hospital

  • Psychiatric Hospital
  • Waukegan, IL
National Provider Identifier
1134634116
Registry record updated Jun 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
Legal business name
V COVINGTON, LLC
Doing business as
Lake Behavioral Hospital
Practice address
2615 Washington St
Waukegan, IL 60085-4980
Phone
(855) 990-1900
Fax
(847) 249-8747
NPI assigned
Dec 12, 2017
Last updated
Jun 10, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Richard A Kresch, M.D.
Title
Manager
Phone
(212) 243-5565

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X NU Primary

Addresses

Primary practice location

2615 Washington St
Waukegan, IL 60085-4980

Mailing address

2615 Washington St
Waukegan, IL 60085-4980
Phone (855) 990-1900

Other names 1

  • LAKE BEHAVIORAL HOSPITAL Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20180328000814 IL Part B Supplier - Clinic/Group Practice 7315209988 Receives reassigned benefits from 12 practitioners
Practice locations: Waukegan, IL
O20210310000640 IL Part A Provider - Hospital 7315209988 Practice locations: Waukegan, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1134634116. Details of each certification follow.

Hospital certification: CCN 144042

Legal name
V COVINGTON, LLC
Doing business as
LAKE BEHAVIORAL HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Psychiatric
Participating since
Oct 1, 2020
Last certification
Oct 1, 2020
Beds
386
Ownership / control type
Private (for profit)
Organization structure
LLCProprietary
Enrollment address
2615 Washington St
Waukegan, IL 60085-4980
Main/Primary Hospital Location
Hospital subgroups
Psychiatric

Care Compare: Hospital

Medicare Care Compare
Listed as
Lake Behavioral HospitalCCN 144042 · All quality measures
Type
Psychiatric
Ownership
Proprietary
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
No

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 8

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
F-Prime Capital Partners HC Cambridge Fund III LP Organization, Cambridge, MA Investment firm, For-profit 5% Or Greater Indirect Ownership Interest Mar 1, 2018 9.9%
US Healthvest, LLC Organization, New York, NY LLC, For-profit 5% Or Greater Direct Ownership Interest Mar 1, 2018 100%
Richard a Kresch Individual 5% Or Greater Indirect Ownership Interest Mar 1, 2018 13.6%
Corporate DirectorBoard Member Mar 1, 2018
W-2 Managing EmployeeManager Mar 1, 2018
James Cha Individual Corporate DirectorBoard Member Mar 1, 2018
Oak HC/Ft Ushv Blocker Corp Organization, Greenwich, CT Corporation, Investment firm, For-profit 5% Or Greater Indirect Ownership Interest Mar 1, 2018 9.1%
PP VII US Healthvest Inc Organization, Boston, MA Corporation, Investment firm, For-profit 5% Or Greater Indirect Ownership Interest Mar 1, 2018 5.6%
PVP US Healthvest, Inc Organization, Boston, MA Corporation, Investment firm, For-profit 5% Or Greater Indirect Ownership Interest Mar 1, 2018 28.4%
F-Prime Capital Partners HC International Fund III LP Organization, Cambridge, MA Investment firm, For-profit 5% Or Greater Indirect Ownership Interest Mar 1, 2018 5.3%

Facilities with the same owner 7

Facilities that share an organizational owner with 5% or greater ownership or operational control.

  • 2014 Health, LLC

    dba Chicago Behavioral Hospital

    • Psychiatric Hospital
    • Des Plaines, IL
    • NPI 1083021877

    PP VII US Healthvest Inc, PVP US Healthvest, Inc, US Healthvest, LLC

    CMS ownership
  • Silver Oaks Behavioral, LLC

    dba Silver Oaks Behavioral Hospital

    • Psychiatric Hospital
    • New Lenox, IL
    • NPI 1376020479

    US Healthvest, LLC

    CMS ownership
  • Indiana Behavioral Innovations LLC
    • Psychiatric Hospital
    • Plainfield, IN
    • NPI 1922614825

    F-Prime Capital Partners HC Cambridge Fund III LP, F-Prime Capital Partners HC International Fund III LP, Oak HC/Ft Ushv Blocker Corp, PP VII US Healthvest Inc, PVP US Healthvest, Inc, US Healthvest, LLC

    CMS ownership
  • RV Behavioral, LLC

    dba Ridgeview Institue Smyrna

    • Psychiatric Hospital
    • Smyrna, GA
    • NPI 1427508761

    F-Prime Capital Partners HC Cambridge Fund III LP, F-Prime Capital Partners HC International Fund III LP, Oak HC/Ft Ushv Blocker Corp, PP VII US Healthvest Inc, PVP US Healthvest, Inc, US Healthvest, LLC

    CMS ownership
  • Vest Monroe, LLC

    dba Ridgeview Institute Monroe

    • Psychiatric Hospital
    • Monroe, GA
    • NPI 1073069944

    F-Prime Capital Partners HC Cambridge Fund III LP, F-Prime Capital Partners HC International Fund III LP, Oak HC/Ft Ushv Blocker Corp, PP VII US Healthvest Inc, PVP US Healthvest, Inc, US Healthvest, LLC

    CMS ownership
  • Vest Seattle, LLC

    dba Smokey Point Behavioral Hospital

    • Psychiatric Hospital
    • Marysville, WA
    • NPI 1679020150

    F-Prime Capital Partners HC Cambridge Fund III LP, F-Prime Capital Partners HC International Fund III LP, Oak HC/Ft Ushv Blocker Corp, PP VII US Healthvest Inc, PVP US Healthvest, Inc, US Healthvest, LLC

    CMS ownership
  • Vest Thurston LLC

    dba South Sound Behavioral Hospital

    • Psychiatric Hospital
    • Lacey, WA
    • NPI 1336605849

    PP VII US Healthvest Inc, PVP US Healthvest, Inc, US Healthvest, LLC

    CMS ownership

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1513036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623283200000",
    "number": "1134634116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2615 WASHINGTON ST",
            "city": "WAUKEGAN",
            "state": "IL",
            "postal_code": "600854980",
            "telephone_number": "855-990-1900",
            "fax_number": "847-249-8747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2615 WASHINGTON ST",
            "city": "WAUKEGAN",
            "state": "IL",
            "postal_code": "600854980",
            "telephone_number": "855-990-1900",
            "fax_number": "847-249-8747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "V COVINGTON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-12",
        "last_updated": "2021-06-10",
        "certification_date": "2021-06-10",
        "status": "A",
        "authorized_official_last_name": "KRESCH",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "212-243-5565",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LAKE BEHAVIORAL HOSPITAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waukegan, IL

Sources for this page

Verify at the official NPI Registry.