WALTER L. CHERRY GROUP HOME
NPI 1053619528
Clinic/Center - Mental Health (Including Community Mental Health Center) in Waukegan, IL
- Organization
- Clinic/Center
- Mental Health (Including Community Menta...
About WALTER L. CHERRY GROUP HOME
This page provides the complete NPI Profile along with additional information for Walter L. Cherry Group Home, a provider established in Waukegan, Illinois operating as a Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1053619528 assigned on March 2011. The practitioner's primary taxonomy code is 261QM0801X. The provider is registered as an organization and their NPI record was last updated 5 years ago. Walter L. Cherry Group Home operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's other name is Walter L. Cherry Group Home. The authorized official of this NPI record is Mr. Christopher Anthony Schrantz Cpa, Jd (Chief Financial Officer)
- NPI
- 1053619528 Verify this NPI
- Provider Legal Name
- ALLENDALE ASSOCIATION
- Other Organization Name
- WALTER L. CHERRY GROUP HOME
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 421 W WATER ST WAUKEGAN, IL 60085
- Location Phone
- (847) 360-9560
- Location Fax
- (847) 360-0195
- Mailing Address
- 421 W WATER ST WAUKEGAN, IL 60085
- Mailing Phone
- (847) 360-9560
- Mailing Fax
- (847) 360-0195
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-08-2011
- Last Update Date
- 05-03-2021
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Mental Health (Including Community Mental Health Center)
- Taxonomy Code
- 261QM0801X
- Type
- Ambulatory Health Care Facilities
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 2084P0804X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | |
| 2 | 320800000X | Residential Treatment Facilities | Community Based Residential Treatment Facility, Mental Illness | 110330-09 (IL) |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
WAUKEGAN, IL 60085
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1053619528, enumerated as an "organization" on March 08, 2011.
The provider is located at 421 W WATER ST WAUKEGAN, IL 60085 and the phone number is (847) 360-9560.
Clinic/Center with taxonomy code 261QM0801X and a focus in Mental Health (Including Community Mental Health Center).
