CAROLE LANE TERRACE
NPI 1497928618
Intermediate Care Facility, Intellectual Disabilities in Sauk Village, IL

Active since April 09, 2008CLIA 14D1107282 · Waiver
1641 CAROLE LANE, SAUK VILLAGE, IL 60411(708) 758-8756(708) 758-1817 Get Directions Write a Review

NPPES record last updated: April 20, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Carole Lane Terrace NPPES

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

CAROLE LANE TERRACE (NPI 1497928618) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Sauk Village, Illinois and active in the NPI registry since April 2008. The organization holds a CLIA Waiver certificate valid through November 1, 2027 and lists Ronald J Wilson, Authorized Agent, as its authorized official.

NPPES Registry Identity

NPI1497928618
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NamePIONEER CONCEPTS INC
Location Address1641 CAROLE LANESauk Village, IL 60411-4990
Mailing Address285 South Farnham StreetGalesburg, IL 61401-5323 · (309) 343-1550 · Fax (309) 343-6318
Fax(708) 758-1817
Organization SubpartYes
Authorized OfficialRonald J WilsonAuthorized Agent · (309) 343-1550
Enumeration DateApril 9, 2008
Last NPPES UpdateApril 20, 2008
NPI 1497928618 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 · 47977
Definition
An intermediate care facility providing services for individuals with intellectual disabilities.
1641 CAROLE LANE, Sauk Village, IL 60411

Other Names 1

Doing Business AsCarole Lane Terrace

Other Identifiers 1

Medicaid=========012IL

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D1107282

Pioneer Concepts Inc · Galesburg, IL
Active · expires Nov 1, 2027
CLIA Number14D1107282
Laboratory TypeIntermediate Care Facility For Mentally Retarded
Certificate Effective DateNovember 2, 2025
Certificate Expiration DateNovember 1, 2027
Laboratory DirectorChris Helfrich
Laboratory Phone(708) 758-8756
Laboratory LocationPioneer Concepts Inc285 S Farnham St, Galesburg, IL 61401
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Pioneer Concepts Inc's NPI number?

The NPI number for Pioneer Concepts Inc is 1497928618. It was assigned to this organization in the NPPES registry on April 9, 2008. The provider is doing business as Carole Lane Terrace.

Where is Pioneer Concepts Inc located?

Pioneer Concepts Inc is located at 1641 Carole Lane, Sauk Village, IL 60411. The listed phone number is (708) 758-8756.

What is Pioneer Concepts Inc's specialty?

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

Does Pioneer Concepts Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D1107282) is associated with this NPI, valid through November 1, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Pioneer Concepts 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.