WAUKEGAN GROUP HOME
NPI 1528319969
Residential Treatment Facility, Emotionally Disturbed Children in Waukegan, IL

Q: What is Arden Shore Child And Family Services's specialty?

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

Active since September 25, 2012

3100 CORNELL RD, WAUKEGAN, IL 60087(847) 263-1858(847) 263-4190 Get Directions Write a Review

NPPES record last updated: September 25, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Waukegan Group Home NPPES

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

WAUKEGAN GROUP HOME (NPI 1528319969) is a healthcare organization registered as a residential treatment facility, emotionally disturbed children in Waukegan, Illinois and active in the NPI registry since September 2012. The organization lists Dora Maya, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1528319969

Entity TypeOrganization

Primary Taxonomy322D00000X

Legal Business NameARDEN SHORE CHILD AND FAMILY SERVICES

Location Address3100 CORNELL RDWaukegan, IL 60087-2247

Mailing Address3100 Cornell RdWaukegan, IL 60087-2247 · (847) 263-1858 · Fax (847) 263-4190

Phone(847) 263-1858

Fax(847) 263-4190

Organization SubpartNo

Authorized OfficialDora MayaPresident/ceo · (847) 623-1730

Enumeration DateSeptember 25, 2012

✔ NPI 1528319969 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 · 31414206

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.

3100 CORNELL RD, Waukegan, IL 60087

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Other Names 1

Other NameWaukegan Group Home

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 Arden Shore Child And Family Services's NPI number?

The NPI number for Arden Shore Child And Family Services is 1528319969. It was assigned to this organization in the NPPES registry on September 25, 2012. The provider is also known as Waukegan Group Home.

Where is Arden Shore Child And Family Services located?

Arden Shore Child And Family Services is located at 3100 Cornell Rd, Waukegan, IL 60087. The listed phone number is (847) 263-1858.

What is Arden Shore Child And Family Services'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 Arden Shore Child And Family Services was last updated on September 25, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.