OrganizationActive
Bayside Care Center Lp
NPI 1407669674 · Mental Illness Intermediate Care Facility · Waukegan, IL
Provider details
- NPI number
- 1407669674
- Entity type
- Organization
- Primary specialty
- Mental Illness Intermediate Care FacilityNursing & Custodial Care Facilities
- Authorized official
- Kim Boulton, Contract Coordinator
Mailing address
5151 Church St
Skokie, IL 60077-1123
Registry dates
- Enumerated
- 2025-01-30
- Last updated
- 2025-01-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.