Lifehouse Group, LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

LIFEHOUSE GROUP, LLC

Doing business as

LifeHouse Group

Practice address

14127 Leavitt Ave
Blue Island, IL 60406-3242

Phone

(708) 897-8581

NPI assigned

Apr 21, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Daniel Edward Walsh, NCRS

Title

Ceo

Phone

(312) 451-5996

Specialties & licenses 3

Addresses

Other names 1

• LifeHouse Group Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1745193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745193600000",
    "number": "1053108456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14127 LEAVITT AVE",
            "city": "BLUE ISLAND",
            "state": "IL",
            "postal_code": "604063242",
            "telephone_number": "708-897-8581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14127 LEAVITT AVE",
            "city": "BLUE ISLAND",
            "state": "IL",
            "postal_code": "604063242",
            "telephone_number": "708-897-8581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFEHOUSE GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-21",
        "last_updated": "2025-04-21",
        "certification_date": "2025-04-21",
        "status": "A",
        "authorized_official_last_name": "WALSH",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "312-451-5996",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NCRS"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Recovery Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LifeHouse Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Leo W Lavender
• Carrie L Lewis, CNA
• Christel Lewis
• Lifehouse Behavioral Health, LLC
• Lifehouse Bridge Group, LLC
• Jeffrey Lin, MD
• Martin Francis Lowery, D.D.S.
• Lutheran Social Services of Illinois
• Luv Home Care LLC
• Kristine Lynch, LCSW

• Substance Use Disorder Rehabilitation Clinic/Center in Blue Island, IL
• Providers in Blue Island, IL by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.