Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
BAYSIDE CARE CENTER LP
Active
Organization
BAYSIDE CARE CENTER LP
Active
Other names
Bayside Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
KIM M BOULTON (CONTRACT COORDINATOR)
(847) 933-9200
Entity
Organization
Contact information
Practice address
1100 S LEWIS AVE, WAUKEGAN, IL 60085-7710
(847) 244-8196
Mailing address
5151 CHURCH ST, SKOKIE, IL 60077-1123
(847) 933-9200
Taxonomy
Speciality
Code
Description
License number
State
310500000X
Mental Illness Intermediate Care Facility
Primary
—
—
Other
Enumeration date
01/30/2025
Last updated
01/30/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up