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LYDIA HOME ASSOCIATION
NPI 1962123901
Residential Treatment Facility, Emotionally Disturbed Children in Evanston, IL

Active since September 08, 2022
1101 WASHINGTON ST, EVANSTON, IL 60202(847) 424-2450 Get Directions Write a Review

NPPES record last updated: September 8, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lydia Home Association NPPES

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

LYDIA HOME ASSOCIATION (NPI 1962123901) is a healthcare organization registered as a residential treatment facility, emotionally disturbed children in Evanston, Illinois and active in the NPI registry since September 2022. The organization lists Brian Clutter, Director Of Finance, as its authorized official.

NPPES Registry Identity

NPI1962123901
Entity TypeOrganization
Primary Taxonomy322D00000X
Legal Business NameLYDIA HOME ASSOCIATION
Location Address1101 WASHINGTON STEvanston, IL 60202-1619
Mailing Address4300 W Irving Park RdChicago, IL 60641-2825 · (773) 736-1447 · Fax (773) 736-5014
Phone(847) 424-2450
Organization SubpartNo
Authorized OfficialBrian ClutterDirector Of Finance · (847) 651-7195
Enumeration DateSeptember 8, 2022
NPPES CertifiedSeptember 8, 2022
✔ NPI 1962123901 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyResidential Treatment Facility, Emotionally Disturbed ChildrenResidential Treatment Facilities
Taxonomy Code322D00000X
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 · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
Also ListedClinic/Center · Adolescent and Children Mental HealthTaxonomy 261QM0855X
1101 WASHINGTON ST, Evanston, IL 60202
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Other Providers at the Same Location NPPES

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

CHILDREN'S HOME & AID SOCIETY OF AMERICA
Psychiatric Residential Treatment Facility
1101 WASHINGTON ST
EVANSTON, IL 60202
Cook County (847) 424-5170

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 1962123901. It was assigned to this organization in the NPPES registry on September 8, 2022.

Where is Lydia Home Association located?

Lydia Home Association is located at 1101 Washington St, Evanston, IL 60202. The listed phone number is (847) 424-2450.

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.

When was this NPI record last updated?

The NPPES record for Lydia Home Association was last updated on September 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.