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PEACHTREE ESTATES
NPI 1245423979
Intermediate Care Facility, Intellectual Disabilities in Jonesboro, IL

Active since August 27, 2007
1370 STATE ROUTE 127 S, JONESBORO, IL 62952(618) 833-3235(618) 833-3237 Get Directions Write a Review

NPPES record last updated: April 20, 2008. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Peachtree Estates NPPES

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

PEACHTREE ESTATES (NPI 1245423979) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Jonesboro, Illinois and active in the NPI registry since August 2007. The organization lists Gary L Griffith, Administrator, as its authorized official.

NPPES Registry Identity

NPI1245423979
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameRAVE RESIDENTIAL SERVICES, INC.
Location Address1370 STATE ROUTE 127 SJonesboro, IL 62952-2488
Mailing Address1390 State Route 127 SJonesboro, IL 62952-2488 · (618) 833-5344 · Fax (618) 833-8217
Phone(618) 833-3235
Fax(618) 833-3237
Organization SubpartYes
Authorized OfficialGary L GriffithAdministrator · (618) 833-5344
Enumeration DateAugust 27, 2007
Last NPPES UpdateApril 20, 2008
✔ NPI 1245423979 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 · 0040626
Definition
An intermediate care facility providing services for individuals with intellectual disabilities.
1370 STATE ROUTE 127 S, Jonesboro, IL 62952
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Other Names 1

Doing Business AsPeachtree Estates

Other Identifiers 1

Medicaid=========001IL

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 Rave Residential Services, Inc.'s NPI number?

The NPI number for Rave Residential Services, Inc. is 1245423979. It was assigned to this organization in the NPPES registry on August 27, 2007. The provider is doing business as Peachtree Estates.

Where is Rave Residential Services, Inc. located?

Rave Residential Services, Inc. is located at 1370 State Route 127 S, Jonesboro, IL 62952. The listed phone number is (618) 833-3235.

What is Rave Residential Services, Inc.'s specialty?

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

When was this NPI record last updated?

The NPPES record for Rave Residential Services, 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.