OrganizationActive
Arden Shore Child and Family Services
NPI 1528319969 · Emotionally Disturbed Childrens' Residential Treatment Facility · Waukegan, IL
Provider details
- NPI number
- 1528319969
- Entity type
- Organization
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Dora Maya, President/Ceo(847) 623-1730
- License
- 31414206 (IL)
Specialties & taxonomies
- Emotionally Disturbed Childrens' Residential Treatment FacilityPrimary322D00000XLicense 31414206 (IL)
Residential Treatment Facilities
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3100 Cornell Rd
Waukegan, IL 60087-2247
Phone: (847) 263-1858
Fax: (847) 263-4190
Street-level locationGet directions
Mailing address
3100 Cornell Rd
Waukegan, IL 60087-2247
Other names (DBA / former)
- Other name
- Waukegan Group Home
Registry dates
- Enumerated
- 2012-09-25
- Last updated
- 2012-09-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.