NPI Code Details Logo

NPI 1609756238

NPI 1609756238 : THE COVINGTON INC GROUP LLC : LOUISVILLE, KY

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1609756238
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    THE COVINGTON INC GROUP LLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    09/04/2025
-----------------------------------------------------
    Last Update Date     |    09/04/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    4739 DIXIE HWY STE D 
-----------------------------------------------------
    City                 |    LOUISVILLE
-----------------------------------------------------
    State                |    KY
-----------------------------------------------------
    Zip                  |    40216-2653
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    502-292-8399
-----------------------------------------------------
    Fax                  |    502-292-8399
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    PO BOX 16046 
-----------------------------------------------------
    City                 |    LOUISVILLE
-----------------------------------------------------
    State                |    KY
-----------------------------------------------------
    Zip                  |    40256-0046
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    502-292-8399
-----------------------------------------------------
    Fax                  |    502-292-8399
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    OWNER
-----------------------------------------------------
    Name                 |     DEMITRA  ALEXANDER 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    502-292-8399
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    251B00000X
-----------------------------------------------------
    Taxonomy Name        |    Case Management Agency
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    251C00000X
-----------------------------------------------------
    Taxonomy Name        |    Developmentally Disabled Services Day Training Agency
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    251S00000X
-----------------------------------------------------
    Taxonomy Name        |    Community/Behavioral Health Agency
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #4
-----------------------------------------------------
    Taxonomy Code        |    253Z00000X
-----------------------------------------------------
    Taxonomy Name        |    In Home Supportive Care Agency
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #5
-----------------------------------------------------
    Taxonomy Code        |    261QA0600X
-----------------------------------------------------
    Taxonomy Name        |    Adult Day Care Clinic/Center
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #6
-----------------------------------------------------
    Taxonomy Code        |    261QD1600X
-----------------------------------------------------
    Taxonomy Name        |    Developmental Disabilities Clinic/Center
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #7
-----------------------------------------------------
    Taxonomy Code        |    261QF0050X
-----------------------------------------------------
    Taxonomy Name        |    Non-Surgical Family Planning Clinic/Center
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #8
-----------------------------------------------------
    Taxonomy Code        |    261QH0700X
-----------------------------------------------------
    Taxonomy Name        |    Hearing and Speech Clinic/Center
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #9
-----------------------------------------------------
    Taxonomy Code        |    261QM0850X
-----------------------------------------------------
    Taxonomy Name        |    Adult Mental Health Clinic/Center
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #10
-----------------------------------------------------
    Taxonomy Code        |    261QP2000X
-----------------------------------------------------
    Taxonomy Name        |    Physical Therapy Clinic/Center
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #11
-----------------------------------------------------
    Taxonomy Code        |    320600000X
-----------------------------------------------------
    Taxonomy Name        |    Intellectual and/or Developmental Disabilities Residential Treatment Facility
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #12
-----------------------------------------------------
    Taxonomy Code        |    343900000X
-----------------------------------------------------
    Taxonomy Name        |    Non-emergency Medical Transport (VAN)
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #13
-----------------------------------------------------
    Taxonomy Code        |    385HR2060X
-----------------------------------------------------
    Taxonomy Name        |    Child Intellectual and/or Developmental Disabilities Respite Care
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #14
-----------------------------------------------------
    Taxonomy Code        |    372600000X
-----------------------------------------------------
    Taxonomy Name        |    Adult Companion
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.