Revel Living Llc

LBN: Revel Living Llc
Revel Living Llc is an health care organization with primary practice located at 1740 Ridge Ave Ste 305 , Evanston IL 60201-5909. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Ambulatory Health Care Facilities / Adult Mental Health is the primary health care specialty. Revel Living Llc can be contacted via phone (312) 899-6184, or through Vaughan, Mark via phone (619) 952-8263.

Contact Information

Primary practice address
1740 Ridge Ave Ste 305 Evanston IL 60201-5909
Phone: (312) 899-6184
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Vaughan, Mark LMFT
Phone: (619) 952-8263

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X

Profile Details

NPI number 1538637277
LBN Legal business name Revel Living Llc
DBA Doing business as
Authorized official Vaughan, Mark LMFT
Entity Organization
Organization subpart 1 No
Enumeration date Nov 12th, 2018
Last updated Nov 30th, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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