1. Home
  2. Directory
  3. Illinois
  4. Pekin
  5. Intermediate Care Facility Mentally Retarded
  6. NPI Profile

DAVIES SQUARE
NPI 1750553103
Intermediate Care Facility, Intellectual Disabilities in Pekin, IL

Active since March 26, 2008
1817 CRESCENT DRIVE, PEKIN, IL 61554(309) 347-6803(309) 347-5796 Get Directions Write a Review

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

About Davies Square NPPES

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

DAVIES SQUARE (NPI 1750553103) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Pekin, Illinois and active in the NPI registry since March 2008. The organization lists Ronald J Wilson, Authorized Agent, as its authorized official.

NPPES Registry Identity

NPI1750553103
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameCOMMUNITY LIVING OPTIONS INC
Location Address1817 CRESCENT DRIVEPekin, IL 61554-1572
Mailing Address285 South Farnham StreetGalesburg, IL 61401-5323 · (309) 343-1550 · Fax (309) 343-6318
Phone(309) 347-6803
Fax(309) 347-5796
Organization SubpartYes
Authorized OfficialRonald J WilsonAuthorized Agent · (309) 343-1550
Enumeration DateMarch 26, 2008
Last NPPES UpdateApril 20, 2008
✔ NPI 1750553103 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 · 31955
Definition
An intermediate care facility providing services for individuals with intellectual disabilities.
1817 CRESCENT DRIVE, Pekin, IL 61554
Open in Google Maps ↗

Other Names 1

Doing Business AsDavies Square

Other Identifiers 1

Medicaid=========016IL

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 1750553103. It was assigned to this organization in the NPPES registry on March 26, 2008. The provider is doing business as Davies Square.

Where is Community Living Options Inc located?

Community Living Options Inc is located at 1817 Crescent Drive, Pekin, IL 61554. The listed phone number is (309) 347-6803.

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.