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ABBOTT HOUSE, LLC
NPI 1194859892
Intermediate Care Facility, Mental Illness in Highland Park, IL

Active since March 15, 2007CLIA 14D2331513 · Waiver
405 CENTRAL AVE, HIGHLAND PARK, IL 60035(847) 432-6080(847) 432-7286 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Abbott House, Llc NPPES

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

ABBOTT HOUSE, LLC (NPI 1194859892) is a healthcare organization registered as an intermediate care facility, mental illness in Highland Park, Illinois and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through October 2, 2027 and lists Ivy K Fishman, Administrator, as its authorized official.

NPPES Registry Identity

NPI1194859892
Entity TypeOrganization
Primary Taxonomy310500000X
Legal Business NameABBOTT HOUSE, LLC
Location Address405 CENTRAL AVEHighland Park, IL 60035-2622
Mailing Address405 Central AveHighland Park, IL 60035-2622 · (847) 432-6080 · Fax (847) 432-7286
Phone(847) 432-6080
Fax(847) 432-7286
Organization SubpartNo
Authorized OfficialIvy K FishmanAdministrator · (847) 432-6080
Enumeration DateMarch 15, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1194859892 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIntermediate Care Facility, Mental IllnessNursing & Custodial Care Facilities
Taxonomy Code310500000X
License✔ Licensed in IL · 0023739
Definition
A nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness.
405 CENTRAL AVE, Highland Park, IL 60035
Open in Google Maps ↗

Other Identifiers 1

Other0023739IL · Public Health License Num

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

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 14D2331513

Abbott House, LLC · Highland Park, IL
Active · expires Oct 2, 2027
CLIA Number14D2331513
Laboratory TypeSpecialized Mental Hlt Fa
Certificate Effective DateOctober 3, 2025
Certificate Expiration DateOctober 2, 2027
Laboratory DirectorDaniel Yohanna
Laboratory Phone(847) 432-6080
Laboratory LocationAbbott House, LLC405 Central Ave, Highland Park, IL 60035
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Abbott House, LLC's NPI number?

The NPI number for Abbott House, LLC is 1194859892. It was assigned to this organization in the NPPES registry on March 15, 2007.

Where is Abbott House, LLC located?

Abbott House, LLC is located at 405 Central Ave, Highland Park, IL 60035. The listed phone number is (847) 432-6080.

What is Abbott House, LLC's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Mental Illness with taxonomy code 310500000X.

Does Abbott House, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2331513) is associated with this NPI, valid through October 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Abbott House, LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Abbott House, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Abbott House, LLC 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.