LAWRENCE HALL YOUTH SERVICES (NPI# 1508282245) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508282245 |
| Entity Type | Organization |
| Organization Name | LAWRENCE HALL YOUTH SERVICES |
| Practice Address |
510 W Highland Ave Elgin IL 60123-5428 |
| Mailing Address |
2737 W Peterson Ave Chicago IL 60659-3927 |
| Practice Telephone | 7737282807 |
| Mailing Telephone | 7737282807 |
| Enumeration Date | 2014-03-05 |
| Last Update Date | 2014-03-05 |
| Authorized Official Name | MARK NUFER (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 7737282807 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251B00000X | Case Management | 528319-01 | IL | Agencies |
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | 528319-01 | IL | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437400421 | Lawrence Hall Youth Services | Case Management | 6621 N Ashland Ave, Chicago, IL 60626-4106 | 2012-10-01 |
| 1407107345 | Lawrence Hall Youth Services | Case Management | 6344 N Lakewood Ave, Chicago, IL 60660-1408 | 2012-10-01 |
| 1427303460 | Lawrence Hall Youth Services | Case Management | 5100 N Avers Ave, Chicago, IL 60625-6015 | 2012-07-16 |
| 1699030213 | Lawrence Hall Youth Services | Case Management | 1609 W Jarvis Ave, Chicago, IL 60626-1912 | 2012-07-10 |
| 1396009445 | Lawrence Hall Youth Services | Foster Care Agency | 8117 S Essex Ave, Chicago, IL 60617-1225 | 2012-07-03 |
| 1588623466 | Lawrence Hall Youth Services | Case Management | 4833 N Francisco Ave, Chicago, IL 60625-3640 | 2006-03-21 |
| 1851710792 | Lawrence Hall Youth Services | Case Management | 9n987 Koshare Trl, Elgin, IL 60124-8427 | 2014-04-08 |
| 1659797967 | Lawrence Hall Youth Services | Case Management | 455 N Shady Oaks Dr, Elgin, IL 60120-4309 | 2014-03-11 |
| 1619393352 | Lawrence Hall Youth Services | Case Management | 59 Park Row, Elgin, IL 60120-6525 | 2014-03-05 |
| 1922331958 | Lawrence Hall Youth Services | Case Management | 65 E Wacker Pl, 7th Floor, Chicago, IL 60601-7296 | 2009-09-09 |
| Street Address |
510 W HIGHLAND AVE |
| City | ELGIN |
| State | IL |
| Zip Code | 60123-5428 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417127804 | The Larkin Center | Residential Treatment Facility, Emotionally Disturbed Children | 510 W Highland Ave, Elgin, IL 60123-5428 | 2008-03-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629625736 | Edna Lopez | Social Worker | 1140 N. Mclean Blvd #1, Elgin, IL 60123 | 2019-08-22 |
| 1003472259 | Katelyn Lee O'connell | Counselor | 695 S. Sate Street, Elgin, IL 60123 | 2019-05-14 |
| 1598235152 | Katie Elizabeth Dwyer | Counselor | 695 S. State Street, Elgin, IL 60123 | 2018-11-27 |
| 1174002778 | James M Accetta | Counselor | 52 Surry Drive, Elgin, IL 60123 | 2018-08-14 |
| 1770086175 | Griswold Home Care | Adult Companion | 707 A Davis Road, Suite 203, Elgin, IL 60123 | 2018-03-12 |
| 1003315706 | Danielle Bryant | Nurse Practitioner | 745 Fletcher Dr Ste 101, Elgin, IL 60123 | 2018-02-08 |
| 1912421470 | Deborah Foshager | Counselor | 680 Shenandoah Trail, Elgin, IL 60123 | 2017-07-26 |
| 1760903470 | Miguel Camargo | Specialist/Technologist | 12 N Aldine St, Elgin, IL 60123 | 2017-07-03 |
| 1134658594 | David Sommer | Counselor | 1460 Umbdenstock Rd, Elgin, IL 60123 | 2017-06-08 |
| 1649719618 | Faheem Unisa Syed | Clinical Nurse Specialist | 1990 Larkin Ave., Elgin, IL 60123 | 2017-02-23 |
| Find all providers in zip 60123 | ||||
| Taxonomy Code | 322D00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Emotionally Disturbed Children |
| A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
| Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750551149 | The Larkin Center | Residential Treatment Facility, Emotionally Disturbed Children | 59 Park Row, Elgin, IL 60120-6525 | 2008-03-03 |
| 1285804518 | The Larkin Center | Residential Treatment Facility, Emotionally Disturbed Children | 60 N Melrose, Elgin, IL 60123 | 2008-03-03 |
| 1922278316 | The Larkin Center | Residential Treatment Facility, Emotionally Disturbed Children | 12 S Crystal St, Elgin, IL 60123-6339 | 2008-03-03 |
| 1417127804 | The Larkin Center | Residential Treatment Facility, Emotionally Disturbed Children | 510 W Highland Ave, Elgin, IL 60123-5428 | 2008-03-03 |
| 1003086497 | The Larkin Center | Residential Treatment Facility, Emotionally Disturbed Children | 518 W Highland Ave, Elgin, IL 60123-5428 | 2008-03-03 |
| 1194995589 | The Larkin Center | Residential Treatment Facility, Emotionally Disturbed Children | 455 N Shady Oaks Dr, Elgin, IL 60120-4309 | 2008-03-03 |
| 1194994574 | The Larkin Center | Residential Treatment Facility, Emotionally Disturbed Children | 9n987 Koshare Trl, Elgin, IL 60124-8427 | 2008-02-29 |
| 1346307899 | Pine Grove Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 1500 Chestnut Road, Elgin, SC 29045-0100 | 2007-01-03 |
| 1710156195 | The Larkin Center | Residential Treatment Facility, Emotionally Disturbed Children | 152 College St, Elgin, IL 60120-5652 | 2008-02-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801363551 | Kemmerer Village Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 941 N. 2500 East Road, Assumption, IL 62510 | 2018-10-31 |
| 1538635198 | Center for Comprehensive Services, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 901 S Busse Rd, Mt Prospect, IL 60056-4006 | 2018-10-22 |
| 1851866867 | Sonia Shankman Orthogenic School | Residential Treatment Facility, Emotionally Disturbed Children | Sonia Shankman Orthogenic School, 6245 South Ingleside Ave, Chicago, IL 60637-2621 | 2018-10-05 |
| 1982188637 | Nexus Family Healing | Residential Treatment Facility, Emotionally Disturbed Children | 109 North Poplar Street, Onarga, IL 60955 | 2018-09-19 |
| 1326532888 | Cunningham Children's Home of Urbana Il | Residential Treatment Facility, Emotionally Disturbed Children | 1303 N. Cunningham Avenue, Urbana, IL 61821 | 2018-06-19 |
| 1760924732 | The Center for Youth and Family Solutions | Residential Treatment Facility, Emotionally Disturbed Children | 260 E. Queenwood Rd., Cyfs Educational Building, Morton, IL 61550 | 2016-11-08 |
| 1881058329 | The Center for Youth and Family Solutions | Residential Treatment Facility, Emotionally Disturbed Children | 260 E Queenwood Rd, Morton, IL 61550-9726 | 2016-04-11 |
| 1942621768 | Arrowhead Ranch Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 12228 104th St, Coal Valley, IL 61240-9712 | 2013-12-20 |
| 1588004667 | Nexus Family Healing | Residential Treatment Facility, Emotionally Disturbed Children | 175 Evergreen, Manteno, IL 60950 | 2013-07-03 |
| 1649610841 | Nexus Family Healing | Residential Treatment Facility, Emotionally Disturbed Children | 325 Hemlock, Manteno, IL 60950 | 2013-07-02 |
| 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.