Bayside Terrace LLC
NPI 1912029521 · Mental Illness Intermediate Care Facility · Waukegan, IL
Bayside Terrace LLC is a Mental Illness Intermediate Care Facility organization in Waukegan, IL (NPI 1912029521).
Provider details
- NPI number
- 1912029521
- Entity type
- Organization
- Primary specialty
- Mental Illness Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Demetria Rafael, Administrator(847) 244-8196
- License
- 0023036 (IL)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
Mailing address
Registry dates
- Enumerated
- 2007-04-04
- Last updated
- 2016-07-20
Frequently asked questions
- What is Bayside Terrace LLC's NPI number?
- Bayside Terrace LLC's National Provider Identifier (NPI) is 1912029521, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Bayside Terrace LLC?
- Bayside Terrace LLC is classified in the NPPES registry as Mental Illness Intermediate Care Facility (Nursing & Custodial Care Facilities).
- Where is Bayside Terrace LLC located?
- Bayside Terrace LLC's practice location on file with NPPES is 1100 S Lewis Ave, Waukegan, IL 60085-7710.
- What is Bayside Terrace LLC's phone number?
- The practice phone number listed in the NPPES registry for Bayside Terrace LLC is (847) 244-8196.
- Who is the authorized official for Bayside Terrace LLC?
- The authorized official listed on Bayside Terrace LLC's NPPES record is Demetria Rafael, Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Bayside Terrace LLC's NPI active?
- Yes — Bayside Terrace LLC's NPI (1912029521) is active in the NPPES registry as of the last update on 2016-07-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.