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JACK MABLEY DEVELOPMENTAL CENTER
NPI 1376525204
Intermediate Care Facility, Intellectual Disabilities in Dixon, IL

Active since November 16, 2005
1120 WASHINGTON AVE, DIXON, IL 61021(815) 288-8301(815) 288-8398 Get Directions Write a Review

NPPES record last updated: December 22, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jack Mabley Developmental Center NPPES

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

JACK MABLEY DEVELOPMENTAL CENTER (NPI 1376525204) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Dixon, Illinois and active in the NPI registry since November 2005. The organization lists Debra Muhlstadt, Fiscal Administrator, Sodc Operatio, as its authorized official.

NPPES Registry Identity

NPI1376525204
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameILLINOIS DEPARTMENT OF HUMAN SERVICES
Location Address1120 WASHINGTON AVEDixon, IL 61021-1258
Mailing Address1120 Washington AveDixon, IL 61021-1258 · (815) 288-8301 · Fax (815) 288-8398
Phone(815) 288-8301
Fax(815) 288-8398
Organization SubpartNo
Authorized OfficialDebra MuhlstadtFiscal Administrator, Sodc Operatio · (815) 288-8335
Enumeration DateNovember 16, 2005
Last NPPES UpdateDecember 22, 2016
✔ NPI 1376525204 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 · 830600
Definition
An intermediate care facility providing services for individuals with intellectual disabilities.
1120 WASHINGTON AVE, Dixon, IL 61021
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Other Names 1

Other NameJack Mabley Developmental Center

Other Identifiers 4

Medicare UPINE63807IL
Medicare UPIN830600IL
Medicare UPINT38623IL
Medicare UPINC43534IL

Other Providers at the Same Location NPPES 7

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

JACK MABLEY DVELOPMENTAL CENTER
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
1120 WASHINGTON AVE
DIXON, IL 61021
Lee County (815) 288-8331
JACK MABLEY DEVELOPMENTAL CENTER
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
1120 WASHINGTON AVE
DIXON, IL 61021
Lee County (815) 288-8331
JACK MABLEY DEVELOPMENTAL CENTER
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
1120 WASHINGTON AVE
DIXON, IL 61021
Lee County (815) 288-8331
JACK MABLEY DEVELOPMENTAL CENTER
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
1120 WASHINGTON AVE
DIXON, IL 61021
Lee County (815) 288-8331
JACK MABLEY DEVELOPMENTAL CENTER
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
1120 WASHINGTON AVE
DIXON, IL 61021
Lee County (815) 288-8331
JACK MABLEY DEVELOPMENTAL CENTER
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
1120 WASHINGTON AVE
DIXON, IL 61021
Lee County (815) 288-8331
JACK MABLEY DEVELOPMENTAL CENTER
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
1120 WASHINGTON AVE
DIXON, IL 61021
Lee County (815) 288-8331

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 Illinois Department Of Human Services's NPI number?

The NPI number for Illinois Department Of Human Services is 1376525204. It was assigned to this organization in the NPPES registry on November 16, 2005. The provider is also known as Jack Mabley Developmental Center.

Where is Illinois Department Of Human Services located?

Illinois Department Of Human Services is located at 1120 Washington Ave, Dixon, IL 61021. The listed phone number is (815) 288-8301.

What is Illinois Department Of Human Services'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 Illinois Department Of Human Services was last updated on December 22, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.