Community Residential Centers Inc
NPI 1043482979 · Intellectual Disabilities Intermediate Care Facility · Galesburg, IL
Community Residential Centers Inc is a Intellectual Disabilities Intermediate Care Facility organization in Galesburg, IL (NPI 1043482979).
Provider details
- NPI number
- 1043482979
- Entity type
- Organization
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Parent organization
- Community Residential Centers Inc
- Organization subpart
- Yes
- Authorized official
- Ronald Wilson, Authorized Agent(309) 343-1550
- License
- 34066 (IL)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- St Marys Square Living Center
Registry dates
- Enumerated
- 2008-04-01
- Last updated
- 2008-04-20
Frequently asked questions
- What is Community Residential Centers Inc's NPI number?
- Community Residential Centers Inc's National Provider Identifier (NPI) is 1043482979, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Community Residential Centers Inc?
- Community Residential Centers Inc is classified in the NPPES registry as Intellectual Disabilities Intermediate Care Facility (Nursing & Custodial Care Facilities).
- Where is Community Residential Centers Inc located?
- Community Residential Centers Inc's practice location on file with NPPES is 239 South Cherry Street, Galesburg, IL 61401-4911.
- What is Community Residential Centers Inc's phone number?
- The practice phone number listed in the NPPES registry for Community Residential Centers Inc is (309) 343-4101.
- Who is the authorized official for Community Residential Centers Inc?
- The authorized official listed on Community Residential Centers Inc's NPPES record is Ronald Wilson, Authorized Agent. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Community Residential Centers Inc's NPI active?
- Yes — Community Residential Centers Inc's NPI (1043482979) is active in the NPPES registry as of the last update on 2008-04-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.