Kids Hope United Northern Region in Lake Villa - Residential Treatment Facility, Emotionally Disturbed Children
Kids Hope United Northern Region - NPI 1104889633
Kids Hope United Northern Region is a Residential Treatment Facility, Emotionally Disturbed Children in Lake Villa, Illinois. Kids Hope United Northern Region practices all healthcare services and medical treatments related to Residential Treatment Facility, Emotionally Disturbed Children. The NPI Number for Kids Hope United Northern Region is 1104889633. The last update date is 2020-08-22.
Kids Hope United Northern Region's current location address is 215 N Milwaukee Ave, Lake Villa, Illinois. You can contact this provider via phone number 8472456584 and fax number 8473561842. The mailing address for Kids Hope United Northern Region is 215 N Milwaukee Ave, Lake Villa, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Kids Hope United Northern Region |
|---|---|
| Address | 215 N Milwaukee Ave, Lake Villa, Illinois |
| Phone Number | 8472456584 |
| Fax Number | 8473561842 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Gillis A Bill |
| Telephone Number | 3129495612 |
NPI Number Detail
| NPI Number | 1104889633 |
|---|---|
| Provider Enumeration Date | 2006-04-07 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 215 N Milwaukee Ave |
|---|---|
| City | Lake Villa |
| State | Illinois (IL) |
| Post Code | 600468529 |
| Phone Number | 8472456584 |
| Fax Number | 8473561842 |
Provider's Primary Taxonomy Detail
| Speciality | Residential Treatment Facility, Emotionally Disturbed Children |
|---|---|
| Taxonomy | 322D00000X |
| Licence No | 004019-10 |
|
Definition: A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 370697157003 | IL | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Kids Hope United Northern Region?
The Kids Hope United Northern Region has been issued the NPI (National Provider Identifier) 1104889633 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Kids Hope United Northern Region is physically located?
The Kids Hope United Northern Region is situated at the following address: 215 N Milwaukee Ave, Lake Villa, IL 600468529.
What is Kids Hope United Northern Region's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Kids Hope United Northern Region is Residential Treatment Facility, Emotionally Disturbed Children, and the taxonomy code that categorizes this field of expertise is 322D00000X.
When did Kids Hope United Northern Region receive its 1104889633 assignment?
The Kids Hope United Northern Region was assigned its 1104889633 on 2006-04-07, which is the date when this unique identifier was issued to the organization.
As of what date was the information pertaining to Kids Hope United Northern Region, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Kids Hope United Northern Region, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-08-22.