BAYSIDE CARE CENTER LP
NPI 1407669674
Intermediate Care Facility, Mental Illness in Waukegan, IL
About Bayside Care Center Lp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BAYSIDE CARE CENTER LP (NPI 1407669674), doing business as Bayside Care Center, is a healthcare organization registered as an intermediate care facility, mental illness in Waukegan, Illinois and active in the NPI registry since January 2025. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Kim M Boulton, Contract Coordinator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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 14D0675295
Bayside Care Center LLP · Waukegan, ILOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Bayside Care Center LP's NPI number?
The NPI number for Bayside Care Center LP is 1407669674. It was assigned to this organization in the NPPES registry on January 30, 2025. The provider is doing business as Bayside Care Center.
Where is Bayside Care Center LP located?
Bayside Care Center LP is located at 1100 S Lewis Ave, Waukegan, IL 60085. The listed phone number is (847) 244-8196.
What is Bayside Care Center LP's specialty?
The primary specialty registered for this NPI is Intermediate Care Facility, Mental Illness with taxonomy code 310500000X.
Does Bayside Care Center LP hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 14D0675295) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Bayside Care Center LP was last updated on January 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Bayside Care Center Lp · NPI 1407669674
Intermediate Care Facility, Mental Illness organization in Waukegan, Illinois. Organization record, active in the CMS NPPES registry since January 30, 2025.
## Identity
- **NPI:** 1407669674 (Entity type: Organization)
- **Enumerated:** January 30, 2025
- **Primary specialty:** Intermediate Care Facility, Mental Illness · taxonomy 310500000X
- **Also known as:** Bayside Care Center (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Kim Boulton, CONTRACT COORDINATOR
## Practice location
- **Address:** 1100 S LEWIS AVE, Waukegan, IL 60085-7710
- **Phone:** (847) 244-8196
## Record status
- **NPPES last updated:** January 30, 2025
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1407669674) · Data from the CMS NPPES public registry.