LYDIA HEALTHCARE (NPI# 1508088410) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508088410 |
| Entity Type | Organization |
| Organization Name | LYDIA HEALTHCARE |
| Practice Address |
13901 S Lydia Ave Robbins IL 60472-2215 |
| Practice Telephone | 7083858700 |
| Practice Fax Number | 7083855648 |
| Mailing Telephone | 7083858700 |
| Mailing Fax Number | 7083855648 |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. MARGARET TOUPAL (COMPTROLLER) |
| Authorized Official Telephone | 6304559696 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310500000X | Intermediate Care Facility, Mental Illness | IL | Nursing & Custodial Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | LYDIA HEALTHCARE LLC | 203 Mallard Ln, Bloomingdale, IL 60108-5406 |
| Street Address |
13901 S LYDIA AVE |
| City | ROBBINS |
| State | IL |
| Zip Code | 60472-2215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134620800 | Danielle Romanick | Psychologist | 13901 S Lydia Ave, Robbins, IL 60472-2215 | 2018-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083641146 | Simon Joseph Piller | Internal Medicine | Robbins Health Center of Cook County, 13450 S. Kedzie Ave., Robbins, IL 60472 | 2006-06-26 |
| 1073572889 | Pamela Lynn Jones | Pharmacist | Robbins Health Center, 13450 South Kedzie, Robbins, IL 60472 | 2006-03-21 |
| 1336592609 | Geraldine Washington | Non-emergency Medical Transport (VAN) | 13613 S Crawford Ave, Robbins, IL 60472-1413 | 2016-07-21 |
| 1184249328 | Ibg Home Nursing LLC | Registered Nurse | 3422 W 137th St, Robbins, IL 60472-1606 | 2020-06-13 |
| 1053942920 | Village of Robbins | Ambulance | 3327 W 137th Street, Robbins, IL 60472-1636 | 2020-01-30 |
| 1376578799 | Tais V. Crawford | Family Medicine | 13450 S Kedzie Ave, Robbins Health Center, Robbins, IL 60472-1639 | 2006-07-12 |
| 1053942045 | Cook County | Family Medicine | 13450 S Kedzie Ave, Robbins, IL 60472-1639 | 2020-01-29 |
| 1922127844 | Cook County | Clinic/Center | 13450 S Kedzie Ave, Robbins, IL 60472-1639 | 2007-03-29 |
| 1629164793 | Jacqueline H Marshall | Pediatrics | 13450 S Kedzie Ave, Robbins, IL 60472-1639 | 2006-10-05 |
| 1225348501 | Cem Home Health Services, Inc | Home Health | 3800 W 139th St, Robbins, IL 60472-1804 | 2010-10-20 |
| Find all providers in zip 60472 | ||||
| Taxonomy Code | 310500000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mental Illness |
| A nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376088146 | Inspire Senior Care, LLC | Intermediate Care Facility, Mental Illness | 401 Burke Dr, Joliet, IL 60433-2113 | 2017-01-03 |
| 1407024284 | Bridgeway, Inc | Intermediate Care Facility, Mental Illness | 639 Hawthorne Ct, Galesburg, IL 61401-1200 | 2008-02-14 |
| 1003004565 | Skokie Meadows Nursing Centers II,llc | Intermediate Care Facility, Mental Illness | 4600 Golf Rd, Skokie, IL 60076-1210 | 2007-10-10 |
| 1154545879 | Bridgeway, Inc | Intermediate Care Facility, Mental Illness | 1089 Hawkinson Ave, Galesburg, IL 61401-6900 | 2007-04-12 |
| 1023231537 | Bridgeway, Inc | Intermediate Care Facility, Mental Illness | 1023 Dewey Ave, Kewanee, IL 61443-3205 | 2007-04-11 |
| 1609099118 | Bridgeway, Inc | Intermediate Care Facility, Mental Illness | 501 N Grove St, Kewanee, IL 61443-2078 | 2007-04-11 |
| 1194948695 | Bridgeway, Inc | Intermediate Care Facility, Mental Illness | 1974 Windish Dr, Galesburg, IL 61401-6800 | 2007-04-11 |
| 1790908200 | Bridgeway, Inc | Intermediate Care Facility, Mental Illness | 1084 Lawrence Ave, Galesburg, IL 61401-2482 | 2007-04-11 |
| 1407079916 | Bridgeway, Inc | Intermediate Care Facility, Mental Illness | 1191 Jefferson St, Galesburg, IL 61401-2617 | 2007-04-11 |
| 1558584060 | Bridgeway, Inc | Intermediate Care Facility, Mental Illness | 1077 Hawkinson Ave, Galesburg, IL 61401-6901 | 2007-04-11 |
| 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.