JACK MABLEY DEVELOPMENTAL CENTER (NPI# 1528103140) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528103140 |
| Entity Type | Organization |
| Organization Name | JACK MABLEY DEVELOPMENTAL CENTER |
| Other Organization Name | BROWNING HOME |
| Practice Address |
1120 Washington Ave Dixon IL 61021-1258 |
| Practice Telephone | 8152888331 |
| Practice Fax Number | 8152887275 |
| Mailing Telephone | 8152888331 |
| Mailing Fax Number | 8152887275 |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. SHARON DEBERRY (CENTER DIRECTOR) |
| Authorized Official Telephone | 8152888330 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | ========= | IL | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | CENTER NPI NUMBER | 1376525204 | 01 |
| Other Name | Type Code |
|---|---|
| Browning Home | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770628398 | Jack Mabley Developmental Center | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1120 Washington Ave, Dixon, IL 61021-1258 | 2007-02-21 |
| 1619012234 | Jack Mabley Developmental Center | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1120 Washington Ave, Dixon, IL 61021-1258 | 2007-02-21 |
| 1831234475 | Jack Mabley Developmental Center | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1120 Washington Ave, Dixon, IL 61021-1258 | 2007-02-21 |
| 1285779892 | Jack Mabley Developmental Center | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1120 Washington Ave, Dixon, IL 61021-1258 | 2007-02-21 |
| 1326183948 | Jack Mabley Developmental Center | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1120 Washington Ave, Dixon, IL 61021-1258 | 2007-02-21 |
| Street Address |
1120 WASHINGTON AVE |
| City | DIXON |
| State | IL |
| Zip Code | 61021-1258 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376525204 | Illinois Department of Human Services | Intermediate Care Facility, Mentally Retarded | 1120 Washington Ave, Dixon, IL 61021-1258 | 2005-11-16 |
| 1770628398 | Jack Mabley Developmental Center | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1120 Washington Ave, Dixon, IL 61021-1258 | 2007-02-21 |
| 1619012234 | Jack Mabley Developmental Center | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1120 Washington Ave, Dixon, IL 61021-1258 | 2007-02-21 |
| 1831234475 | Jack Mabley Developmental Center | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1120 Washington Ave, Dixon, IL 61021-1258 | 2007-02-21 |
| 1285779892 | Jack Mabley Developmental Center | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1120 Washington Ave, Dixon, IL 61021-1258 | 2007-02-21 |
| 1326183948 | Jack Mabley Developmental Center | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1120 Washington Ave, Dixon, IL 61021-1258 | 2007-02-21 |
| 1104961820 | Jack Mabley Dvelopmental Center | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1120 Washington Ave, Dixon, IL 61021-1258 | 2007-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699331082 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 1600 South Galena Ave, Dixon, IL 61021 | 2019-05-12 |
| 1285135590 | Richard Allen Sibert | Counselor | 325 Il Route 2,dixon Il, Dixon, IL 61021 | 2018-02-22 |
| 1518485432 | Madeline Luniewicz | Counselor | 325 Il-2, Dixon, IL 61021 | 2017-08-30 |
| 1669992566 | Nicole Marie Shaffer | Specialist/Technologist | 650 Reynoldswood Road, Dixon, IL 61021 | 2017-06-21 |
| 1346660446 | Lydia Sitter | Audiologist | 215 3. 1st Street, Suite 317, Ksb Medical Group, Dixon, IL 61021 | 2014-04-16 |
| 1053600080 | Janet I. Malmberg | Nurse Practitioner | 309 South Galena Ave, Suite 100, Dixon, IL 61021 | 2011-03-30 |
| 1376775262 | Kelly L Klein | Optometrist | 511 Palmyra Street, Ksb Eye & Vision Care, Dixon, IL 61021 | 2009-08-11 |
| 1013119106 | Michael Joseph Sarno | Physical Therapist | 401 E. First Street, Dixon, IL 61021 | 2007-06-01 |
| 1891905600 | Thomas G. Gehlbach | Internal Medicine | 215 E 1st St Ste 111, Dixon, IL 61021 | 2007-05-23 |
| 1699987230 | Sameer Jain | Family Medicine | 102 S. Hennepin Ave., Ksb Medical Group, Dixon, IL 61021 | 2007-05-04 |
| Find all providers in zip 61021 | ||||
| Taxonomy Code | 320600000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053572818 | Kreider Services Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 735 N Dixon Ave, Dixon, IL 61021-1615 | 2008-06-24 |
| 1487986436 | Kreider Services Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 922 Washington Ave, Dixon, IL 61021-1254 | 2010-02-02 |
| 1770628398 | Jack Mabley Developmental Center | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1120 Washington Ave, Dixon, IL 61021-1258 | 2007-02-21 |
| 1619012234 | Jack Mabley Developmental Center | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1120 Washington Ave, Dixon, IL 61021-1258 | 2007-02-21 |
| 1831234475 | Jack Mabley Developmental Center | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1120 Washington Ave, Dixon, IL 61021-1258 | 2007-02-21 |
| 1285779892 | Jack Mabley Developmental Center | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1120 Washington Ave, Dixon, IL 61021-1258 | 2007-02-21 |
| 1326183948 | Jack Mabley Developmental Center | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1120 Washington Ave, Dixon, IL 61021-1258 | 2007-02-21 |
| 1104961820 | Jack Mabley Dvelopmental Center | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1120 Washington Ave, Dixon, IL 61021-1258 | 2007-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689218273 | Dymond Homes LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4223 S Prairie Ave, Chicago, IL 60653-3211 | 2019-11-06 |
| 1447782396 | Light of Hope | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 22858 Millard Ave, Richton Park, IL 60471-2531 | 2017-03-30 |
| 1760831945 | Nucare Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 18118 Orleans Dr, Hazel Crest, IL 60429-2242 | 2016-06-08 |
| 1649629346 | Catina Ballin | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 8808 Riley Road, Wonderlake, IL 60097 | 2016-06-03 |
| 1003262254 | Patterson House Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 717 E 1st South St, Carlinville, IL 62626-1922 | 2016-05-06 |
| 1235592288 | Ray Graham Association | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 901 Warrenville Rd, Suite 500, Lisle, IL 60532-4301 | 2016-03-29 |
| 1962867796 | Pioneer Center for Human Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1315 N Curran Rd, Mchenry, IL 60050-6520 | 2015-12-21 |
| 1942675228 | Pioneer Center for Human Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 701 N Hart St, Harvard, IL 60033-2227 | 2015-12-11 |
| 1518332881 | Pioneer Center for Human Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 851 W Main St, Cary, IL 60013-1920 | 2015-12-11 |
| 1083089361 | Pioneer Center for Human Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 455 Huntley Rd, Crystal Lake, IL 60014-5318 | 2015-12-11 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.