DOUGLAS TERRACE
NPI 1912179045
Intermediate Care Facility, Intellectual Disabilities in Jacksonville, IL

Q: What is Community Living Options Inc's NPI number?

The NPI number for Community Living Options Inc is 1912179045. It was assigned to this organization in the NPPES registry on March 28, 2008. The provider is doing business as Douglas Terrace.

Q: 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.

Active since March 28, 2008

324 E DOUGLAS STREET, JACKSONVILLE, IL 62650(217) 245-0818(217) 245-0822 Get Directions Write a Review

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

On this page

About Douglas Terrace NPPES

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

DOUGLAS TERRACE (NPI 1912179045) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Jacksonville, 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

NPI1912179045

Entity TypeOrganization

Primary Taxonomy315P00000X

Legal Business NameCOMMUNITY LIVING OPTIONS INC

Location Address324 E DOUGLAS STREETJacksonville, IL 62650-2047

Mailing Address285 South Farnham StreetGalesburg, IL 61401-5323 · (309) 343-1550 · Fax (309) 343-6318

Phone(217) 245-0818

Fax(217) 245-0822

Organization SubpartYes

Authorized OfficialRonald J WilsonAuthorized Agent · (309) 343-1550

Enumeration DateMarch 28, 2008

Last NPPES UpdateApril 20, 2008

✔ NPI 1912179045 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 · 35774

Definition

An intermediate care facility providing services for individuals with intellectual disabilities.

324 E DOUGLAS STREET, Jacksonville, IL 62650

Open in Google Maps ↗

Other Names 1

Doing Business AsDouglas Terrace

Other Identifiers 1

Medicaid=========046IL

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 1912179045. It was assigned to this organization in the NPPES registry on March 28, 2008. The provider is doing business as Douglas Terrace.

Where is Community Living Options Inc located?

Community Living Options Inc is located at 324 E Douglas Street, Jacksonville, IL 62650. The listed phone number is (217) 245-0818.

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.