Bayside Terrace LLC

Bayside Terrace LLC is a healthcare organization registered as Mental Illness Intermediate Care Facility in Waukegan, IL, holding Type 2 (organization) NPI 1912029521 since 2007. The authorized official on file is Demetria Rafael, Administrator.

✓ Active NPI ✓ Valid NPI checksum

NPI	1912029521
Entity type	Organization (Type 2)
Legal business name	Bayside Terrace LLC
Practice address	1100 S LEWIS AVE, Waukegan, IL, 60085
Phone	8472448196
Fax	8472447647
Enumeration date	2007-04-04
Last updated in NPPES	2016-07-20

Authorized official

Name	Demetria Rafael
Title	Administrator
Phone	8472448196

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
310500000X	Mental Illness Intermediate Care Facility	Primary	0023036	IL

Copy-ready billing details

Provider: Bayside Terrace LLC
NPI: 1912029521
Taxonomy: 310500000X (Mental Illness Intermediate Care Facility)
Address: 1100 S LEWIS AVE, Waukegan, IL, 60085

Providers at this address

NPI	Name	Type	Specialty	Location
1407669674	Bayside Care Center Lp	Organization	Mental Illness Intermediate Care Facility	Waukegan, IL

Verify this record

Cross-check NPI 1912029521 against the authoritative CMS record: view Bayside Terrace LLC on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2016-07-20. Verify at npiregistry.cms.hhs.gov.

Where is Bayside Terrace LLC located?

The practice location on file with NPPES is in Waukegan, IL.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2016-07-20.