Lydia Home Association

LBN: Lydia Home Association
Lydia Home Association is an health care organization with primary practice located at 4300 W Irving Park Rd , Chicago IL 60641-2825. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health, Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children. Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children is the primary health care specialty. Lydia Home Association can be contacted via phone (773) 736-1447, or through Anderson, David Karl via phone (773) 736-1447.

Contact Information

Primary practice address
4300 W Irving Park Rd Chicago IL 60641-2825
Phone: (773) 736-1447
Fax: (773) 736-5014
Website:
Map and Directions
Authorized official contact:
Name: Anderson, David Karl PSYD
Phone: (773) 736-1447

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children 322D00000X 062837 Illinois

Profile Details

NPI number 1235197583
LBN Legal business name Lydia Home Association
DBA Doing business as
Authorized official Anderson, David Karl PSYD
Entity Organization
Organization subpart 1 No
Enumeration date May 3rd, 2006
Last updated Jun 24th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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