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LEBANON TERRACE
NPI 1104945716
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Lebanon, IL

Active since March 28, 2007
221 E 3RD ST, LEBANON, IL 62254(618) 537-4133(618) 537-4156 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lebanon Terrace NPPES

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

LEBANON TERRACE (NPI 1104945716) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Lebanon, Illinois and active in the NPI registry since March 2007. The organization lists Donna L Jones, Qmrp, as its authorized official.

NPPES Registry Identity

NPI1104945716
Entity TypeOrganization
Primary Taxonomy320600000X
Legal Business NameLEBANON TERRACE
Location Address221 E 3RD STLebanon, IL 62254-1668
Mailing Address221 E 3rd StLebanon, IL 62254-1668 · (618) 537-4133 · Fax (618) 537-4156
Phone(618) 537-4133
Fax(618) 537-4156
Organization SubpartNo
Authorized OfficialDonna L JonesQmrp · (618) 537-4133
Enumeration DateMarch 28, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1104945716 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320600000X
License✔ Licensed in IL · 0038430
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
221 E 3RD ST, Lebanon, IL 62254
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HOME AND ENVIRONMENTS FOR LIVING AND PROGRAMS
Intermediate Care Facility, Intellectual Disabilities
221 E 3RD ST
LEBANON, IL 62254
St. Clair County (618) 537-4133

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 Lebanon Terrace's NPI number?

The NPI number for Lebanon Terrace is 1104945716. It was assigned to this organization in the NPPES registry on March 28, 2007.

Where is Lebanon Terrace located?

Lebanon Terrace is located at 221 E 3rd St, Lebanon, IL 62254. The listed phone number is (618) 537-4133.

What is Lebanon Terrace's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

When was this NPI record last updated?

The NPPES record for Lebanon Terrace was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.