Lydia Home Association

LBN: Lydia Home Association
Lydia Home Association is an health care organization with primary practice located at 1101 Washington St , Evanston IL 60202-1619. The organization recently has 4 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), 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 (847) 424-2450, or through Clutter, Brian via phone (847) 651-7195.

Contact Information

Primary practice address
1101 Washington St Evanston IL 60202-1619
Phone: (847) 424-2450
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Clutter, Brian
Phone: (847) 651-7195

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
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

Profile Details

NPI number 1962123901
LBN Legal business name Lydia Home Association
DBA Doing business as
Authorized official Clutter, Brian
Entity Organization
Organization subpart 1 No
Enumeration date Sep 8th, 2022
Last updated Sep 8th, 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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