Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kids Hope United Northern Region

Organization Emotionally Disturbed Childrens' Residential Treatment Facility · NPI 1104889633

Kids Hope United Northern Region is an Emotionally Disturbed Childrens' Residential Treatment Facility in Lake Villa, Illinois. Licensed in Illinois. Registered with an NPI since 2006.

Licensed in
IL
In the registry since
2006

Practice location Address checks out

215 N Milwaukee Ave
Lake Villa, IL 60046-8529
Phone: (847) 245-6584
Fax: (847) 356-1842
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emotionally Disturbed Childrens' Residential Treatment Facility (primary) Taxonomy 322D00000X · Licence 004019-10 (IL)

Record details

NPI number1104889633
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Heather Kelly — Assistant Director Of Bh · (217) 347-5880
NPI enumeratedApril 7, 2006
Last updated in NPPESAugust 16, 2024
Certification dateAugust 16, 2024
Mailing address215 N Milwaukee Ave, P.O. Box 1128, Lake Villa, IL 60046-8529

Other providers in Lake Villa