STONEBRIDGE HOME
NPI 1619012234
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Dixon, IL

Active since February 21, 2007
1120 WASHINGTON AVE, DIXON, IL 61021(815) 288-8331(815) 288-7275 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 21, 2022, Aug 22, 2020 (2 updates tracked since 2020).

About Stonebridge Home NPPES

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

STONEBRIDGE HOME (NPI 1619012234) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Dixon, Illinois and active in the NPI registry since February 2007. The organization lists Sharon Deberry, Center Director, as its authorized official.

NPPES Registry Identity

NPI1619012234
Entity TypeOrganization
Primary Taxonomy320600000X
Legal Business NameJACK MABLEY DEVELOPMENTAL CENTER
Location Address1120 WASHINGTON AVEDixon, IL 61021-1258
Mailing Address1120 Washington AveDixon, IL 61021-1258 · (815) 288-8331 · Fax (815) 288-7275
Fax(815) 288-7275
Organization SubpartNo
Authorized OfficialSharon DeberryCenter Director · (815) 288-8330
Enumeration DateFebruary 21, 2007
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
NPI 1619012234 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320600000X
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
1120 WASHINGTON AVE, Dixon, IL 61021

Other Names 1

Other NameStonebridge Home

Other Identifiers 1

Other1376525204IL · Center Npi Number

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.

Residential Treatment Facility, Intellectual and/or Developmental Disabilities
1120 WASHINGTON AVE
DIXON, IL 61021
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
1120 WASHINGTON AVE
DIXON, IL 61021
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
1120 WASHINGTON AVE
DIXON, IL 61021
Intermediate Care Facility, Intellectual Disabilities
1120 WASHINGTON AVE
DIXON, IL 61021
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
1120 WASHINGTON AVE
DIXON, IL 61021
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
1120 WASHINGTON AVE
DIXON, IL 61021
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
1120 WASHINGTON AVE
DIXON, IL 61021

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 Jack Mabley Developmental Center's NPI number?

The NPI number for Jack Mabley Developmental Center is 1619012234. It was assigned to this organization in the NPPES registry on February 21, 2007. The provider is also known as Stonebridge Home.

Where is Jack Mabley Developmental Center located?

Jack Mabley Developmental Center is located at 1120 Washington Ave, Dixon, IL 61021. The listed phone number is (815) 288-8331.

What is Jack Mabley Developmental Center's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

When was this NPI record last updated?

The NPPES record for Jack Mabley Developmental Center was last updated on July 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.