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GLENWOOD TERRACE
NPI 1356513790
Intermediate Care Facility, Intellectual Disabilities in Springfield, IL

Active since March 26, 2008
2724 GLENWOOD AVE, SPRINGFIELD, IL 62704(217) 523-0182(217) 523-4605 Get Directions Write a Review

NPPES record last updated: April 20, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Glenwood Terrace NPPES

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

GLENWOOD TERRACE (NPI 1356513790) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Springfield, Illinois and active in the NPI registry since March 2008. The organization lists Ronald J Wilson, Authorized Agent, as its authorized official.

NPPES Registry Identity

NPI1356513790
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameCOMMUNITY LIVING OPTIONS INC
Location Address2724 GLENWOOD AVESpringfield, IL 62704-5010
Mailing Address285 South Farnham StreetGalesburg, IL 61401-5323 · (309) 343-1550 · Fax (309) 343-6318
Phone(217) 523-0182
Fax(217) 523-4605
Organization SubpartYes
Authorized OfficialRonald J WilsonAuthorized Agent · (309) 343-1550
Enumeration DateMarch 26, 2008
Last NPPES UpdateApril 20, 2008
✔ NPI 1356513790 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 · 35063
Definition

An intermediate care facility providing services for individuals with intellectual disabilities.

2724 GLENWOOD AVE, Springfield, IL 62704
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Other Names 1

Doing Business AsGlenwood Terrace

Other Identifiers 1

Medicaid=========035IL

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 1356513790. It was assigned to this organization in the NPPES registry on March 26, 2008. The provider is doing business as Glenwood Terrace.

Where is Community Living Options Inc located?

Community Living Options Inc is located at 2724 Glenwood Ave, Springfield, IL 62704. The listed phone number is (217) 523-0182.

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.

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 with the weekly NPPES data releases published by CMS.