Provider Demographics
NPI: | 1609756238 |
---|---|
Name: | THE COVINGTON INC GROUP LLC |
Entity type: | Organization |
Organization Name: | THE COVINGTON INC GROUP LLC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | OWNER |
Authorized Official - Prefix: | |
Authorized Official - First Name: | DEMITRA |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | ALEXANDER |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 502-292-8399 |
Mailing Address - Street 1: | PO BOX 16046 |
Mailing Address - Street 2: | |
Mailing Address - City: | LOUISVILLE |
Mailing Address - State: | KY |
Mailing Address - Zip Code: | 40256-0046 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 502-292-8399 |
Mailing Address - Fax: | 502-292-8399 |
Practice Address - Street 1: | 4739 DIXIE HWY STE D |
Practice Address - Street 2: | |
Practice Address - City: | LOUISVILLE |
Practice Address - State: | KY |
Practice Address - Zip Code: | 40216-2653 |
Practice Address - Country: | US |
Practice Address - Phone: | 502-292-8399 |
Practice Address - Fax: | 502-292-8399 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2025-09-04 |
Last Update Date: | 2025-09-04 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 372600000X | Nursing Service Related Providers | Adult Companion | Group - Multi-Specialty | |
No | 251B00000X | Agencies | Case Management | ||
No | 251C00000X | Agencies | Day Training, Developmentally Disabled Services | ||
No | 251S00000X | Agencies | Community/Behavioral Health | ||
No | 253Z00000X | Agencies | In Home Supportive Care | ||
No | 261QA0600X | Ambulatory Health Care Facilities | Clinic/Center | Adult Day Care | |
No | 261QD1600X | Ambulatory Health Care Facilities | Clinic/Center | Developmental Disabilities | |
No | 261QF0050X | Ambulatory Health Care Facilities | Clinic/Center | Family Planning, Non-Surgical | |
No | 261QH0700X | Ambulatory Health Care Facilities | Clinic/Center | Hearing and Speech | |
No | 261QM0850X | Ambulatory Health Care Facilities | Clinic/Center | Adult Mental Health | |
No | 261QP2000X | Ambulatory Health Care Facilities | Clinic/Center | Physical Therapy | |
No | 320600000X | Residential Treatment Facilities | Residential Treatment Facility, Intellectual and/or Developmental Disabilities | ||
No | 343900000X | Transportation Services | Non-emergency Medical Transport (VAN) | ||
No | 385HR2060X | Respite Care Facility | Respite Care | Respite Care, Intellectual and/or Developmental Disabilities, Child |