JACKSONVILLE DEVELOPMENTAL CENTER
NPI 1659441285
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Jacksonville, IL

Active since November 09, 2006
1201 S MAIN ST, JACKSONVILLE, IL 62650(217) 479-2120(217) 245-1165 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jacksonville Developmental Center NPPES

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

JACKSONVILLE DEVELOPMENTAL CENTER (NPI 1659441285) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Jacksonville, Illinois and active in the NPI registry since November 2006. The organization lists Michael Hurt, Center Director, as its authorized official.

NPPES Registry Identity

NPI1659441285
Entity TypeOrganization
Primary Taxonomy320600000X
Legal Business NameDEPARTMENT OF HUMAN SERVICES
Location Address1201 S MAIN STJacksonville, IL 62650-3339
Mailing Address1201 S Main StJacksonville, IL 62650-3339 · (217) 479-2120 · Fax (217) 245-1165
Fax(217) 245-1165
Organization SubpartNo
Authorized OfficialMichael HurtCenter Director · (217) 479-2110
Enumeration DateNovember 9, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1659441285 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.
1201 S MAIN ST, Jacksonville, IL 62650

Other Names 1

Other NameJacksonville Developmental Center

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacksonville Developmental Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

45

Medicare enrollment records show 45 clinicians reassign Medicare billing to Jacksonville Developmental Center, which bills Medicare for the services they deliver. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 11

Internal Medicine13
Psychiatry12
Family Practice5
Nurse Practitioner5
Neurology3
Emergency Medicine2
Anesthesiology1
General Practice1
3 other specialties3

Nearest to this location (20)

See all 45
Nurse Practitioner
NPI 1437899689
4 MEMORIAL DR STE 210
Alton, IL 62002
(618) 465-8829
✔ PECOS✔ Accepts Medicare57 mi
Neurology
NPI 1487768917
4 MEMORIAL DR STE 210
Alton, IL 62002
(618) 465-8829
✔ PECOS✔ Accepts Medicare57 mi
Internal Medicine
NPI 1730389107
512 N 11TH ST SUITE B
Quincy, IL 62301
(217) 224-9484
✔ PECOS64 mi
Pathology
NPI 1265454995
26 CAMELOT DR
Edwardsville, IL 62025
(618) 692-4373
✔ PECOS66 mi
Internal Medicine
NPI 1902030836
4500 MEMORIAL DR
Belleville, IL 62226
(618) 257-6220
✔ PECOS✔ Accepts Medicare82 mi
Family Practice
NPI 1912973900
9401 HOLY CROSS LN
Breese, IL 62230
(618) 526-7271
✔ PECOS✔ Accepts Medicare85 mi
Internal Medicine
NPI 1659372605
14509 STATE ROUTE 127
Carlyle, IL 62231
(618) 594-3613
✔ PECOS✔ Accepts Medicare88 mi
Plastic and Reconstructive Surgery
NPI 1508034596
14900 N COURT 9
Effingham, IL 62401
(217) 994-6162
✔ PECOS96 mi
General Surgery
NPI 1366488660
803 E BROADWAY
Centralia, IL 62801
(618) 532-4511
✔ PECOS102 mi
Family Practice
NPI 1982693925
1315 LEHMEN DR
Chester, IL 62233
(618) 826-4571
✔ PECOS125 mi
Nurse Practitioner
NPI 1861964215
1315 LEHMEN DR
Chester, IL 62233
(618) 826-4571
✔ PECOS✔ Accepts Medicare125 mi
Internal Medicine
NPI 1972592210
1315 LEHMEN DR
Chester, IL 62233
(618) 826-4571
✔ PECOS125 mi
Emergency Medicine
NPI 1700087475
1315 LEHMEN DR
Chester, IL 62233
(618) 826-4571
✔ PECOS125 mi
General Practice
NPI 1477692267
1580 W COLUMBIA ST
Farmington, MO 63640
(573) 760-1365
✔ PECOS135 mi
Family Practice
NPI 1518935014
403 E 1ST ST
Dixon, IL 61021
(815) 288-5531
✔ PECOS152 mi
Internal Medicine
NPI 1770654725
100 E JEFFERY ST
Kankakee, IL 60901
(815) 939-8011
✔ PECOS157 mi
Anesthesiology
NPI 1790923399
1000 N MAIN ST
Anna, IL 62906
(618) 833-5161
✔ PECOS164 mi
Psychiatry
NPI 1053407486
11235 DISTINCTIVE DR
Orland Park, IL 60467
(708) 479-5555
✔ PECOS✔ Accepts Medicare176 mi
Psychiatry
NPI 1881685071
902 S RANDALL RD C187
St Charles, IL 60174
(630) 835-9954
✔ PECOS✔ Accepts Medicare180 mi
Neurology
NPI 1891767224
4920 E STATE ST
Rockford, IL 61108
(815) 226-1906
✔ PECOS✔ Accepts Medicare186 mi
See all 45 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Department Of Human Services's NPI number?

The NPI number for Department Of Human Services is 1659441285. It was assigned to this organization in the NPPES registry on November 9, 2006. The provider is also known as Jacksonville Developmental Center.

Where is Department Of Human Services located?

Department Of Human Services is located at 1201 S Main St, Jacksonville, IL 62650. The listed phone number is (217) 479-2120.

What is Department Of Human Services's specialty?

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

Is Department Of Human Services enrolled in Medicare?

Yes. Department Of Human Services is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Department Of Human Services?

According to the CMS Revalidation Reassignment List (October 2026 release), 45 clinicians in 11 Medicare specialties reassign their Medicare billing to Department Of Human Services. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Internal Medicine (13), Psychiatry (12) and Family Practice (5). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Department Of Human Services was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.