NPIMap

Organization Active NPI

One Hope United - Northern Region

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Lake Villa, IL
National Provider Identifier
1316780489
Registry record updated Aug 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
Legal business name
ONE HOPE UNITED - NORTHERN REGION
Practice address
215 N Milwaukee Ave
Lake Villa, IL 60046-8529
Phone
(847) 245-6500
NPI assigned
Jun 17, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2024

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

Authorized official

Name
Heather Christine Kelly
Title
Asst Director of BH
Phone
(217) 347-5880

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X Primary

Addresses

Primary practice location

215 N Milwaukee Ave
Lake Villa, IL 60046-8529

Mailing address

PO Box 1128
Lake Villa, IL 60046-1128
Phone (847) 245-6500

Other names 1

  • One Hope United Doing business as

National Provider Directory

National Provider Directory
Tax ID family
One Hope United28 organizations share this tax ID, including this one

Other organizations with this tax ID 27

Organizations that report the same tax identification number in the National Provider Directory.

View all 27

Locations

215 N Milwaukee Ave
Lake Villa, IL 60046
Phone (847) 245-6500

NPI Registry JSON

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

{
    "created_epoch": "1718582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723766400000",
    "number": "1316780489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1128",
            "city": "LAKE VILLA",
            "state": "IL",
            "postal_code": "600461128",
            "telephone_number": "847-245-6500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 N MILWAUKEE AVE",
            "city": "LAKE VILLA",
            "state": "IL",
            "postal_code": "600468529",
            "telephone_number": "847-245-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONE HOPE UNITED - NORTHERN REGION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-17",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "CHRISTINE",
        "authorized_official_title_or_position": "ASST DIRECTOR OF BH",
        "authorized_official_telephone_number": "217-347-5880"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "One Hope United",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "One Hope United",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lake Villa, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2024; 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.