Bayside Care Center LP
NPI 1407669674ActiveOrganization· Intermediate Care Facility, Mental Illness· Waukegan, IL
Intermediate Care Facility, Mental Illness in Waukegan, Illinois, registered in NPPES in January 2025. The authorized official on file is Kim M. Boulton, Contract Coordinator.
Overview
| NPI | 1407669674 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 30, 2025 |
| Last updated in NPPES | Jan 30, 2025 |
| Certified by provider | Jan 30, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Intermediate Care Facility, Mental Illness Primary | 310500000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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