ALLENDALE ASSOCIATION (NPI# 1013215649) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013215649 |
| Entity Type | Organization |
| Organization Name | ALLENDALE ASSOCIATION |
| Other Organization Name | BECKER GROUP HOME |
| Practice Address |
448 N Genesee St Waukegan IL 60085-4006 |
| Practice Telephone | 8472449343 |
| Practice Fax Number | 8472449540 |
| Mailing Telephone | 8472449343 |
| Mailing Fax Number | 8472449540 |
| Enumeration Date | 2011-03-07 |
| Last Update Date | 2011-03-07 |
| Authorized Official Name | MR. CHRISTOPHER ANTHONY SCHRANTZ (VICE PRESIDENT - FINANCE) |
| Authorized Official Telephone | 8472456214 |
| Authorized Official Credential | CPA, JD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | 002129-11 | IL | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Becker Group Home | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053619528 | Allendale Association | Community Based Residential Treatment Facility, Mental Illness | 421 W Water St, Waukegan, IL 60085-5527 | 2011-03-08 |
| 1033417670 | Allendale Association | Residential Treatment Facility, Emotionally Disturbed Children | 12603 224th Ave, Benet Lake, WI 53102-1000 | 2011-03-07 |
| 1992003578 | Allendale Association | Residential Treatment Facility, Emotionally Disturbed Children | 1920 Sherman Ave, North Chicago, IL 60064-2318 | 2011-03-07 |
| 1437457074 | Allendale Association | Community Based Residential Treatment Facility, Mental Illness | 1875 Stratford Rd, Highland Park, IL 60035-3747 | 2011-03-07 |
| 1821051608 | Allendale Association | Clinic/Center | Grand Ave. and Offield Dr., Lake Villa, IL 60046-1088 | 2006-04-11 |
| 1548744972 | Allendale Association | Residential Treatment Facility, Emotionally Disturbed Children | 600 W Grand Ave, Lake Villa, IL 60046-8034 | 2018-09-21 |
| 1801370242 | Allendale Association | Residential Treatment Facility, Emotionally Disturbed Children | 448 N Genesee St, Waukegan, IL 60085-4006 | 2018-09-21 |
| 1447734884 | Allendale Association | Residential Treatment Facility, Emotionally Disturbed Children | 421 W Water St, Waukegan, IL 60085-5527 | 2018-09-21 |
| 1154671030 | Allendale Association | Clinic/Center | 5465 Grand Ave, 101, Gurnee, IL 60031-4913 | 2012-09-18 |
| Street Address |
448 N GENESEE ST |
| City | WAUKEGAN |
| State | IL |
| Zip Code | 60085-4006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801370242 | Allendale Association | Residential Treatment Facility, Emotionally Disturbed Children | 448 N Genesee St, Waukegan, IL 60085-4006 | 2018-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285285189 | Allison Rose Matuszewski | Speech-Language Pathologist | Robbie M. Lightfoot, 1721 N Mcaree Rd, Waukegan, IL 60085 | 2019-09-23 |
| 1164985602 | Kristin Kaprak | Speech-Language Pathologist | Thomas Jefferson Middle School, 600 S. Lewis, Waukegan, IL 60085 | 2019-04-11 |
| 1861972317 | Mitchum Smith | Student in an Organized Health Care Education/Training Program | 2025 Washington Street, Waukegan, IL 60085 | 2018-08-15 |
| 1447702998 | Rachel Martinez | Registered Nurse | 3002 Grand Ave., Waukegan, IL 60085 | 2016-11-01 |
| 1831649250 | Kenneth Caples | Specialist/Technologist | 211 S County St, Waukegan, IL 60085 | 2016-10-10 |
| 1033666490 | Catholic Charities of The Archdiocese of Chicago | Community/Behavioral Health | 671 S. Lewis Ave., Waukegan, IL 60085 | 2016-09-02 |
| 1285007757 | Michael Moore | Counselor | 1113 Greenwood Ave, Waukegan, IL 60085 | 2015-11-05 |
| 1740656503 | Emperatriz Guerra | Counselor | 329 N. Genesee Street, Waukegan, IL 60085 | 2015-08-17 |
| 1992189880 | County of Lake | Clinic/Center | 540 S. Mcalister Ave., Waukegan, IL 60085 | 2015-07-10 |
| 1922406354 | Ebele Okonkwor | Nurse Anesthetist, Certified Registered | 1324 N. Sheridan, Waukegan, IL 60085 | 2014-12-17 |
| Find all providers in zip 60085 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053619528 | Allendale Association | Community Based Residential Treatment Facility, Mental Illness | 421 W Water St, Waukegan, IL 60085-5527 | 2011-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245851690 | Brown Health Care Solutions LLC | Community Based Residential Treatment Facility, Mental Illness | 7330 S Blackstone Ave, Chicago, IL 60619-2150 | 2020-04-27 |
| 1376187617 | Haven Pointe L3c | Community Based Residential Treatment Facility, Mental Illness | 4056 W 115th St Apt 100, Chicago, IL 60655-4333 | 2019-10-30 |
| 1386285682 | Monte Nido Illinois, LLC | Community Based Residential Treatment Facility, Mental Illness | 28w510 Washington Ave, Winfield, IL 60190-1537 | 2019-10-08 |
| 1285281188 | Demetrious Walker | Community Based Residential Treatment Facility, Mental Illness | 2430 Athens Rd, Olympia Fields, IL 60461-1954 | 2019-08-25 |
| 1093209264 | Lester & Rosalie Anixter Center | Community Based Residential Treatment Facility, Mental Illness | 5108 W Roscoe St, Chicago, IL 60641-4204 | 2018-06-20 |
| 1689124877 | Cornerstone Suppport Cila Home | Community Based Residential Treatment Facility, Mental Illness | 125 E 144th Ct, Harvey, IL 60426-1218 | 2016-10-11 |
| 1124575733 | Robert Young Center | Community Based Residential Treatment Facility, Mental Illness | 2701 - 17 Street, Rockisland, IL 61201 | 2016-09-01 |
| 1578910063 | Stepping Stones of Rockford, Inc | Community Based Residential Treatment Facility, Mental Illness | 3319 Darwood Dr, Rockford, IL 61101-2727 | 2016-05-16 |
| 1588018162 | Stepping Stones of Rockford, Inc | Community Based Residential Treatment Facility, Mental Illness | 3729 N Main St, Rockford, IL 61103-1611 | 2016-04-20 |
| 1194194175 | Compassion Cila Homes Inc | Community Based Residential Treatment Facility, Mental Illness | 304 Springfield St, Park Forest, IL 60466-1145 | 2015-09-18 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.