WARREN G. MURRAY DEVELOPMENTAL CENTER
NPI 1003960394
Intermediate Care Facility, Intellectual Disabilities in Centralia, IL

Active since January 23, 2007
1535 W MCCORD ST, CENTRALIA, IL 62801(618) 532-1811 Get Directions Write a Review

NPPES record last updated: December 22, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Warren G. Murray Developmental Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WARREN G. MURRAY DEVELOPMENTAL CENTER (NPI 1003960394) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Centralia, Illinois and active in the NPI registry since January 2007. The organization lists Debra Muhlstadt, Fiscal Administrator, Sodc Operatio, as its authorized official.

NPPES Registry Identity

NPI1003960394
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameILLINOIS DEPARTMENT OF HUMAN SERVICES
Location Address1535 W MCCORD STCentralia, IL 62801-5805
Mailing Address1535 W Mccord StCentralia, IL 62801-5805 · (618) 532-1811 · Fax (618) 532-7464
Organization SubpartNo
Authorized OfficialDebra MuhlstadtFiscal Administrator, Sodc Operatio · (815) 288-8335
Enumeration DateJanuary 23, 2007
Last NPPES UpdateDecember 22, 2016
✔ NPI 1003960394 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities
Taxonomy Code315P00000X
Definition
An intermediate care facility providing services for individuals with intellectual disabilities.
Also ListedResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesTaxonomy 320600000X · License 805-8000 (IL)
1535 W MCCORD ST, Centralia, IL 62801

Other Names 1

Other NameWarren G. Murray Developmental Center

Other Identifiers 2

Medicaid14-G053IL
Medicare PIN831100IL

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Warren G. Murray Developmental Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

45

Medicare enrollment records show 45 clinicians reassign Medicare billing to Warren G. Murray Developmental Center, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 11

Internal Medicine13
Psychiatry12
Family Practice5
Nurse Practitioner5
Neurology3
Emergency Medicine2
Anesthesiology1
General Practice1
3 other specialties3

Nearest to this location (20)

See all 45
General Surgery
NPI 1366488660
803 E BROADWAY
Centralia, IL 62801
(618) 532-4511
✔ PECOS2.9 mi
Internal Medicine
NPI 1659372605
14509 STATE ROUTE 127
Carlyle, IL 62231
(618) 594-3613
✔ PECOS✔ Accepts Medicare18 mi
Family Practice
NPI 1912973900
9401 HOLY CROSS LN
Breese, IL 62230
(618) 526-7271
✔ PECOS✔ Accepts Medicare26 mi
Plastic and Reconstructive Surgery
NPI 1508034596
14900 N COURT 9
Effingham, IL 62401
(217) 994-6162
✔ PECOS49 mi
Internal Medicine
NPI 1902030836
4500 MEMORIAL DR
Belleville, IL 62226
(618) 257-6220
✔ PECOS✔ Accepts Medicare51 mi
Pathology
NPI 1265454995
26 CAMELOT DR
Edwardsville, IL 62025
(618) 692-4373
✔ PECOS53 mi
Emergency Medicine
NPI 1700087475
1315 LEHMEN DR
Chester, IL 62233
(618) 826-4571
✔ PECOS59 mi
Family Practice
NPI 1982693925
1315 LEHMEN DR
Chester, IL 62233
(618) 826-4571
✔ PECOS59 mi
Nurse Practitioner
NPI 1861964215
1315 LEHMEN DR
Chester, IL 62233
(618) 826-4571
✔ PECOS✔ Accepts Medicare59 mi
Internal Medicine
NPI 1972592210
1315 LEHMEN DR
Chester, IL 62233
(618) 826-4571
✔ PECOS59 mi
Internal Medicine
NPI 1508843996
1201 PINE ST
Eldorado, IL 62930
(618) 273-3361
✔ PECOS60 mi
Family Practice
NPI 1649611252
608 ROLLIE MOORE DR
Harrisburg, IL 62946
(618) 252-6150
✔ PECOS63 mi
Nurse Practitioner
NPI 1437899689
4 MEMORIAL DR STE 210
Alton, IL 62002
(618) 465-8829
✔ PECOS✔ Accepts Medicare65 mi
Neurology
NPI 1487768917
4 MEMORIAL DR STE 210
Alton, IL 62002
(618) 465-8829
✔ PECOS✔ Accepts Medicare65 mi
Anesthesiology
NPI 1790923399
1000 N MAIN ST
Anna, IL 62906
(618) 833-5161
✔ PECOS73 mi
General Practice
NPI 1477692267
1580 W COLUMBIA ST
Farmington, MO 63640
(573) 760-1365
✔ PECOS91 mi
Internal Medicine
NPI 1730389107
512 N 11TH ST SUITE B
Quincy, IL 62301
(217) 224-9484
✔ PECOS158 mi
Family Practice
NPI 1598832875
100 E JEFFERY ST
Kankakee, IL 60901
(815) 939-8661
✔ PECOS189 mi
Psychiatry
NPI 1053407486
11235 DISTINCTIVE DR
Orland Park, IL 60467
(708) 479-5555
✔ PECOS✔ Accepts Medicare218 mi
Emergency Medicine
NPI 1083639405
850 W IRVING PARK RD
Chicago, IL 60613
(773) 525-6780
✔ PECOS✔ Accepts Medicare248 mi
See all 45 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Illinois Department Of Human Services's NPI number?

The NPI number for Illinois Department Of Human Services is 1003960394. It was assigned to this organization in the NPPES registry on January 23, 2007. The provider is also known as Warren G. Murray Developmental Center.

Where is Illinois Department Of Human Services located?

Illinois Department Of Human Services is located at 1535 W Mccord St, Centralia, IL 62801. The listed phone number is (618) 532-1811.

What is Illinois Department Of Human Services's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

Is Illinois Department Of Human Services enrolled in Medicare?

Yes. Illinois Department Of Human Services is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Illinois Department Of Human Services?

According to the CMS Revalidation Reassignment List (October 2026 release), 45 clinicians in 11 Medicare specialties reassign their Medicare billing to Illinois Department Of Human Services. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Internal Medicine (13), Psychiatry (12) and Family Practice (5). Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Illinois Department Of Human Services was last updated on December 22, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.