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RIVERSIDE FOUNDATION
NPI 1154345676
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Lincolnshire, IL

Active since July 27, 2006CLIA 14D1054063 · Waiver
14588 W HIGHWAY 22, RIVERSIDE FOUNDATION, LINCOLNSHIRE, IL 60069(847) 634-3973(847) 634-0227 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Riverside Foundation NPPES

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

RIVERSIDE FOUNDATION (NPI 1154345676) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Lincolnshire, Illinois and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through May 9, 2028 and lists Pete Mule, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1154345676
Entity TypeOrganization
Primary Taxonomy320600000X
Legal Business NameRIVERSIDE FOUNDATION
Location Address14588 W HIGHWAY 22, RIVERSIDE FOUNDATIONLincolnshire, IL 60069
Mailing Address14588 W Highway 22, Riverside FoundationLincolnshire, IL 60069 · (847) 634-3973 · Fax (847) 634-0227
Phone(847) 634-3973
Fax(847) 634-0227
Organization SubpartNo
Authorized OfficialPete MuleExecutive Director · (847) 634-3973
Enumeration DateJuly 27, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1154345676 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320600000X
License✔ Licensed in IL · 0022988
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
14588 W HIGHWAY 22, Lincolnshire, IL 60069
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D1054063

Riverside Foundation · Lincolnshire, IL
Active · expires May 9, 2028
CLIA Number14D1054063
Laboratory TypeIntermediate Care Facility For Mentally Retarded
Certificate Effective DateMay 10, 2026
Certificate Expiration DateMay 9, 2028
Laboratory DirectorBetty White-Zappa, Rn
Laboratory Phone(847) 634-3973
Laboratory LocationRiverside Foundation14588 Highway #22, Lincolnshire, IL 60069
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

DR. ANTONIO A CHUA LEE M.D.
Internal Medicine
14588 W HIGHWAY 22
LINCOLNSHIRE, IL 60069
Lake County (847) 367-1755
RIVERSIDE FOUNDATION
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
14588 W HIGHWAY 22
LINCOLNSHIRE, IL 60069
Lake County (847) 634-3973

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 Riverside Foundation's NPI number?

The NPI number for Riverside Foundation is 1154345676. It was assigned to this organization in the NPPES registry on July 27, 2006.

Where is Riverside Foundation located?

Riverside Foundation is located at 14588 W Highway 22 Riverside Foundation, Lincolnshire, IL 60069. The listed phone number is (847) 634-3973.

What is Riverside Foundation's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

Does Riverside Foundation hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D1054063) is associated with this NPI, valid through May 9, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Riverside Foundation was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.