Bayside Terrace LLC
NPI 1912029521ActiveOrganization· Intermediate Care Facility, Mental Illness· Waukegan, IL
Intermediate Care Facility, Mental Illness in Waukegan, Illinois, registered in NPPES in April 2007. The authorized official on file is Demetria C. Rafael, RN, Administrator.
Overview
| NPI | 1912029521 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 4, 2007 |
| Last updated in NPPES | Jul 20, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Intermediate Care Facility, Mental Illness Primary | 310500000X | 0023036 | IL |
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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