Lydia Home Association in Chicago - Residential Treatment Facility, Emotionally Disturbed Children
Lydia Home Association - NPI 1235197583
Lydia Home Association is a Residential Treatment Facility, Emotionally Disturbed Children in Chicago, Illinois. Lydia Home Association practices all healthcare services and medical treatments related to Residential Treatment Facility, Emotionally Disturbed Children. The NPI Number for Lydia Home Association is 1235197583. The last update date is 2022-06-24.
Lydia Home Association's current location address is 4300 W Irving Park Rd, Chicago, Illinois. You can contact this provider via phone number 7737361447 and fax number 7737365014. The mailing address for Lydia Home Association is 4300 W Irving Park Rd, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lydia Home Association |
|---|---|
| Address | 4300 W Irving Park Rd, Chicago, Illinois |
| Phone Number | 7737361447 |
| Fax Number | 7737365014 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Anderson Karl David |
| Credentials | PSYD |
| Telephone Number | 7737361447 |
NPI Number Detail
| NPI Number | 1235197583 |
|---|---|
| Provider Enumeration Date | 2006-05-03 |
| Last Updated Date | 2022-06-24 |
Provider Mailing Address Detail
| Address | 4300 W Irving Park Rd |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606412825 |
| Phone Number | 7737361447 |
| Fax Number | 7737365014 |
Provider's Primary Taxonomy Detail
| Speciality | Residential Treatment Facility, Emotionally Disturbed Children |
|---|---|
| Taxonomy | 322D00000X |
| Licence No | 62837 |
|
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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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Lydia Home Association by the Centers for Medicare & Medicaid Services?
The Lydia Home Association has been issued the NPI (National Provider Identifier) 1235197583, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Lydia Home Association is physically located?
The Lydia Home Association is situated at the following address: 4300 W Irving Park Rd, Chicago, IL 606412825.
What is the area of specialization for Lydia Home Association, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Lydia Home Association is Residential Treatment Facility, Emotionally Disturbed Children, and the corresponding taxonomy code that categorizes this area of expertise is 322D00000X.
On what date was the 1235197583 assigned to Lydia Home Association?
The Lydia Home Association was issued its 1235197583 on 2006-05-03, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Lydia Home Association last refreshed?
The information related to the Lydia Home Association, including its address, specialty, and other relevant details, was last updated on 2022-06-24.
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