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BEARDSTOWN TERRACE
NPI 1114199569
Intermediate Care Facility, Intellectual Disabilities in Beardstown, IL

Active since March 26, 2008CLIA 14D0892820 · Waiver
310 E EIGHT STREET, BEARDSTOWN, IL 62618(217) 323-5544(217) 323-3331 Get Directions Write a Review

NPPES record last updated: April 20, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Beardstown Terrace NPPES

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

BEARDSTOWN TERRACE (NPI 1114199569) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Beardstown, Illinois and active in the NPI registry since March 2008. The organization holds a CLIA Waiver certificate valid through October 5, 2026 and lists Ronald J Wilson, Authorized Agent, as its authorized official.

NPPES Registry Identity

NPI1114199569
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameCOMMUNITY LIVING OPTIONS INC
Location Address310 E EIGHT STREETBeardstown, IL 62618-1853
Mailing Address285 South Farnham StreetGalesburg, IL 61401-5323 · (309) 343-1550 · Fax (309) 343-6318
Phone(217) 323-5544
Fax(217) 323-3331
Organization SubpartYes
Authorized OfficialRonald J WilsonAuthorized Agent · (309) 343-1550
Enumeration DateMarch 26, 2008
Last NPPES UpdateApril 20, 2008
✔ NPI 1114199569 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities
Taxonomy Code315P00000X
License✔ Licensed in IL · 35766
Definition
An intermediate care facility providing services for individuals with intellectual disabilities.
310 E EIGHT STREET, Beardstown, IL 62618
Open in Google Maps ↗

Other Names 1

Doing Business AsBeardstown Terrace

Other Identifiers 1

Medicaid=========045IL

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D0892820

Community Living Options Inc · Galesburg, IL
Active · expires Oct 5, 2026
CLIA Number14D0892820
Laboratory TypeIntermediate Care Facility For Mentally Retarded
Certificate Effective DateOctober 6, 2024
Certificate Expiration DateOctober 5, 2026
Laboratory DirectorChris Helfrich
Laboratory Phone(309) 343-7777
Laboratory LocationCommunity Living Options Inc285 S Farnham, Galesburg, IL 61401
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Community Living Options Inc's NPI number?

The NPI number for Community Living Options Inc is 1114199569. It was assigned to this organization in the NPPES registry on March 26, 2008. The provider is doing business as Beardstown Terrace.

Where is Community Living Options Inc located?

Community Living Options Inc is located at 310 E Eight Street, Beardstown, IL 62618. The listed phone number is (217) 323-5544.

What is Community Living Options Inc's specialty?

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

Does Community Living Options Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D0892820) is associated with this NPI, valid through October 5, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Community Living Options Inc was last updated on April 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.