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JACKSONVILLE DEVELOPMENTAL CENTER
NPI 1154465243
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Jacksonville, IL

Active since February 20, 2007
1201 S MAIN ST, JACKSONVILLE, IL 62650(217) 479-2120(217) 243-8920 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jacksonville Developmental Center NPPES

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

JACKSONVILLE DEVELOPMENTAL CENTER (NPI 1154465243) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Jacksonville, Illinois and active in the NPI registry since February 2007. The organization lists Susie Pennell, Administrative Asst, as its authorized official.

NPPES Registry Identity

NPI1154465243
Entity TypeOrganization
Primary Taxonomy320600000X
Legal Business NameBUSHNELL DIX HILL JONES 694110
Location Address1201 S MAIN STJacksonville, IL 62650-3339
Mailing Address1201 S Main StJacksonville, IL 62650-3339 · (217) 479-2120 · Fax (217) 243-8920
Phone(217) 479-2120
Fax(217) 243-8920
Organization SubpartNo
Authorized OfficialSusie PennellAdministrative Asst · (217) 479-2120
Enumeration DateFebruary 20, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1154465243 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
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.
1201 S MAIN ST, Jacksonville, IL 62650
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Other Names 1

Doing Business AsJacksonville Developmental Center

Other Identifiers 1

Medicaid694110IL

Other Providers at the Same Location NPPES 3

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

MR. WAYNE E PETEREIT LPT
Physical Therapist
1201 S MAIN ST
JACKSONVILLE, IL 62650
Morgan County (217) 479-2300
DEPARTMENT OF HUMAN SERVICES
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
1201 S MAIN ST
JACKSONVILLE, IL 62650
Morgan County (217) 479-2120
GILLESPIE 694140
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
1201 S MAIN ST
JACKSONVILLE, IL 62650
Morgan County (217) 479-2120

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 Bushnell Dix Hill Jones 694110's NPI number?

The NPI number for Bushnell Dix Hill Jones 694110 is 1154465243. It was assigned to this organization in the NPPES registry on February 20, 2007. The provider is doing business as Jacksonville Developmental Center.

Where is Bushnell Dix Hill Jones 694110 located?

Bushnell Dix Hill Jones 694110 is located at 1201 S Main St, Jacksonville, IL 62650. The listed phone number is (217) 479-2120.

What is Bushnell Dix Hill Jones 694110'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 Bushnell Dix Hill Jones 694110 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.