ANNA TERRACE
NPI 1447422373
Intermediate Care Facility, Intellectual Disabilities in Jacksonville, IL

Active since April 01, 2008
408 ANNA STREET, JACKSONVILLE, IL 62650(217) 245-5566(217) 245-5461 Get Directions Write a Review

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

About Anna Terrace NPPES

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

ANNA TERRACE (NPI 1447422373) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Jacksonville, Illinois and active in the NPI registry since April 2008. The organization lists Ronald J Wilson, Authorized Agent, as its authorized official.

NPPES Registry Identity

NPI1447422373
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameCOMMUNITY LIVING OPTIONS INC
Location Address408 ANNA STREETJacksonville, IL 62650-2847
Mailing Address285 South Farnham StreetGalesburg, IL 61401-5323 · (309) 343-1550 · Fax (309) 343-6318
Fax(217) 245-5461
Organization SubpartYes
Authorized OfficialRonald J WilsonAuthorized Agent · (309) 343-1550
Enumeration DateApril 1, 2008
Last NPPES UpdateApril 20, 2008
NPI 1447422373 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 · 38836
Definition
An intermediate care facility providing services for individuals with intellectual disabilities.
408 ANNA STREET, Jacksonville, IL 62650

Other Names 1

Doing Business AsAnna Terrace

Other Identifiers 1

Medicaid=========022IL

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 1447422373. It was assigned to this organization in the NPPES registry on April 1, 2008. The provider is doing business as Anna Terrace.

Where is Community Living Options Inc located?

Community Living Options Inc is located at 408 Anna Street, Jacksonville, IL 62650. The listed phone number is (217) 245-5566.

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 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.