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LYDIA HOME ASSOCIATION
NPI 1235197583
Residential Treatment Facility, Emotionally Disturbed Children in Chicago, IL

Active since May 03, 2006CLIA Certified · 2 labs
4300 W IRVING PARK RD, CHICAGO, IL 60641(773) 736-1447(773) 736-5014 Get Directions Write a Review

NPPES record last updated: June 24, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 3, 2022, Aug 22, 2020 (2 updates tracked since 2020).

About Lydia Home Association NPPES

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

LYDIA HOME ASSOCIATION (NPI 1235197583) is a healthcare organization registered as a residential treatment facility, emotionally disturbed children in Chicago, Illinois and active in the NPI registry since May 2006. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in Evanston, and lists David Karl Anderson, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1235197583
Entity TypeOrganization
Primary Taxonomy322D00000X
Legal Business NameLYDIA HOME ASSOCIATION
Location Address4300 W IRVING PARK RDChicago, IL 60641-2825
Mailing Address4300 W Irving Park RdChicago, IL 60641-2825 · (773) 736-1447 · Fax (773) 736-5014
Phone(773) 736-1447
Fax(773) 736-5014
Organization SubpartNo
Authorized OfficialDavid Karl AndersonExecutive Director · (773) 736-1447
Enumeration DateMay 3, 2006
Last NPPES UpdateJune 24, 20222 updates tracked since enumeration
NPPES CertifiedJune 24, 2022
✔ NPI 1235197583 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyResidential Treatment Facility, Emotionally Disturbed ChildrenResidential Treatment Facilities
Taxonomy Code322D00000X
License✔ Licensed in IL · 062837
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.
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
Also ListedClinic/Center · Adolescent and Children Mental HealthTaxonomy 261QM0855X
4300 W IRVING PARK RD, Chicago, IL 60641
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Secondary Practice Location 1

Location 11101 Washington StEvanston, IL 60202-1619 · Phone (847) 424-2450

CLIA Laboratory Certificates CMS CLIA 2

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 14D2289750

Lydia Home · Evanston, IL
Active · expires Sep 13, 2027
CLIA Number14D2289750
Laboratory TypeResidential Foster Care
Certificate Effective DateSeptember 14, 2025
Certificate Expiration DateSeptember 13, 2027
Laboratory DirectorElissa Garcia
Laboratory Phone(847) 424-5167
Laboratory LocationLydia Home1101 Washington St, Evanston, IL 60202
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 14D2214653

Lydia Home Association · Chicago, IL
Active · expires Feb 23, 2027
CLIA Number14D2214653
Laboratory TypeChildren Home
Certificate Effective DateFebruary 24, 2025
Certificate Expiration DateFebruary 23, 2027
Laboratory DirectorJon Ebersol
Laboratory Phone(773) 653-2221
Laboratory LocationLydia Home Association4300 W Irving Park Rd, Chicago, IL 60641
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 9

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

MRS. REBECCA JO WILLIAMS LCSW
Social Worker (Clinical)
4300 W IRVING PARK RD
CHICAGO, IL 60641
Cook County (773) 653-2200
MRS. PATRICIA JANE UTIGARD MSW
Counselor (Mental Health)
4300 W IRVING PARK RD
CHICAGO, IL 60641
Cook County (773) 736-1447
ALLAN T. PETERSON PSY. D, MDIV
Psychologist
4300 W IRVING PARK RD, COUNSELING CENTER
CHICAGO, IL 60641
Cook County (773) 736-1447
LYNWOOD WAYNE MORRISS
Marriage & Family Therapist
4300 W IRVING PARK RD
CHICAGO, IL 60641
Cook County (773) 336-1447
MR. TRAVIS RICHARD SATTERLEE LCPC
Counselor (Professional)
4300 W IRVING PARK RD
CHICAGO, IL 60641
Cook County (773) 736-1447
GINA DAHIYA LSW
Counselor (Mental Health)
4300 W IRVING PARK RD
CHICAGO, IL 60641
Cook County (773) 653-2200
SARAH MARIE DEWALT
Counselor (Mental Health)
4300 W IRVING PARK RD
CHICAGO, IL 60641
Cook County (586) 298-0337
DR. DAVID KARL ANDERSON PSY.D.
Psychologist (Clinical)
4300 W IRVING PARK RD
CHICAGO, IL 60641
Cook County (773) 736-1447

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 Lydia Home Association's NPI number?

The NPI number for Lydia Home Association is 1235197583. It was assigned to this organization in the NPPES registry on May 3, 2006.

Where is Lydia Home Association located?

Lydia Home Association is located at 4300 W Irving Park Rd, Chicago, IL 60641. The listed phone number is (773) 736-1447.

What is Lydia Home Association's specialty?

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

Does Lydia Home Association hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Lydia Home Association was last updated on June 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.