OrganizationActive
One Hope United- Northern Region
NPI 1356698476 · Emotionally Disturbed Childrens' Residential Treatment Facility · Lake Villa, IL
Provider details
- NPI number
- 1356698476
- Entity type
- Organization
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Heather Kelly, Asst Director of Bh(217) 347-5880
- License
- 004019-12 (IL)
Specialties & taxonomies
- Emotionally Disturbed Childrens' Residential Treatment FacilityPrimary322D00000XLicense 004019-12 (IL)
Residential Treatment Facilities
Practice location
215 N Milwaukee Ave
Campus Building #5
Lake Villa, IL 60046-8529
Phone: (847) 245-6500
Fax: (847) 356-7842
Approximate (ZIP-level) locationGet directions
Mailing address
215 N Milwaukee Ave
Lake Villa, IL 60046-8529
Other names (DBA / former)
- Other name
- Campus Building #5
Registry dates
- Enumerated
- 2012-08-08
- Last updated
- 2024-08-16
- Certified
- 2024-08-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.