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KIDS HOPE UNITED NORTHERN REGION
NPI 1104889633
Residential Treatment Facility, Emotionally Disturbed Children in Lake Villa, IL

Active since April 07, 2006
215 N MILWAUKEE AVE, LAKE VILLA, IL 60046(847) 245-6584(847) 356-1842 Get Directions Write a Review

NPPES record last updated: August 16, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 16, 2024, Aug 22, 2020 (2 updates tracked since 2020).

About Kids Hope United Northern Region NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIDS HOPE UNITED NORTHERN REGION (NPI 1104889633) is a healthcare organization registered as a residential treatment facility, emotionally disturbed children in Lake Villa, Illinois and active in the NPI registry since April 2006. The organization lists Heather Christine Kelly, Assistant Director Of Bh, as its authorized official.

NPPES Registry Identity

NPI1104889633
Entity TypeOrganization
Primary Taxonomy322D00000X
Legal Business NameKIDS HOPE UNITED NORTHERN REGION
Location Address215 N MILWAUKEE AVELake Villa, IL 60046-8529
Mailing Address215 N Milwaukee Ave, P.o. Box 1128Lake Villa, IL 60046-8529 · (847) 245-6584 · Fax (847) 356-1842
Phone(847) 245-6584
Fax(847) 356-1842
Organization SubpartNo
Authorized OfficialHeather Christine KellyAssistant Director Of Bh · (217) 347-5880
Enumeration DateApril 7, 2006
Last NPPES UpdateAugust 16, 20242 updates tracked since enumeration
NPPES CertifiedAugust 16, 2024
✔ NPI 1104889633 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Emotionally Disturbed ChildrenResidential Treatment Facilities
Taxonomy Code322D00000X
License✔ Licensed in IL · 004019-10
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.
215 N MILWAUKEE AVE, Lake Villa, IL 60046
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Other Identifiers 1

Medicaid370697157003IL

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ONE HOPE UNITED- NORTHERN REGION
Residential Treatment Facility, Emotionally Disturbed Children
215 N MILWAUKEE AVE, BUILDING # 4
LAKE VILLA, IL 60046
Lake County (847) 245-6500
ELIZABETH ADEN-BUIE LCSW
Social Worker (Clinical)
215 N MILWAUKEE AVE
LAKE VILLA, IL 60046
Lake County (847) 245-6588
NICHOLAS RIPPENTROP MS
Counselor (Mental Health)
215 N MILWAUKEE AVE
LAKE VILLA, IL 60046
Lake County (847) 245-6500
ONE HOPE UNITED - NORTHERN REGION
Residential Treatment Facility, Emotionally Disturbed Children
215 N MILWAUKEE AVE
LAKE VILLA, IL 60046
Lake County (847) 245-6500
ONE HOPE UNITED- NORTHERN REGION
Residential Treatment Facility, Emotionally Disturbed Children
215 N MILWAUKEE AVE, CAMPUS BUILDING #5
LAKE VILLA, IL 60046
Lake County (847) 245-6500
ONE HOPE UNITED- NORTHERN REGION
Residential Treatment Facility, Emotionally Disturbed Children
215 N MILWAUKEE AVE, CAMPUS BUILDING #7
LAKE VILLA, IL 60046
Lake County (847) 245-6500
ONE HOPE UNITED- NORTHERN REGION
Residential Treatment Facility, Emotionally Disturbed Children
215 N MILWAUKEE AVE, CAMPUS BUILDING #6
LAKE VILLA, IL 60046
Lake County (847) 245-6500
ELIZABETH ERICKSEN LPC
Counselor
215 N MILWAUKEE AVE
LAKE VILLA, IL 60046
Lake County (847) 245-6500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kids Hope United Northern Region's NPI number?

The NPI number for Kids Hope United Northern Region is 1104889633. It was assigned to this organization in the NPPES registry on April 7, 2006.

Where is Kids Hope United Northern Region located?

Kids Hope United Northern Region is located at 215 N Milwaukee Ave, Lake Villa, IL 60046. The listed phone number is (847) 245-6584.

What is Kids Hope United Northern Region's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.

When was this NPI record last updated?

The NPPES record for Kids Hope United Northern Region was last updated on August 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.