Lebanon Terrace
NPI 1104945716 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Lebanon, IL
Lebanon Terrace is a Intellectual and/or Developmental Disabilities Residential Treatment Facility organization in Lebanon, IL (NPI 1104945716).
Provider details
- NPI number
- 1104945716
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Donna Jones, Qmrp(618) 537-4133
- License
- 0038430 (IL)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityPrimary320600000XLicense 0038430 (IL)
Residential Treatment Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
Registry dates
- Enumerated
- 2007-03-28
- Last updated
- 2020-08-22
Frequently asked questions
- What is Lebanon Terrace's NPI number?
- Lebanon Terrace's National Provider Identifier (NPI) is 1104945716, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lebanon Terrace?
- Lebanon Terrace is classified in the NPPES registry as Intellectual and/or Developmental Disabilities Residential Treatment Facility (Residential Treatment Facilities).
- Where is Lebanon Terrace located?
- Lebanon Terrace's practice location on file with NPPES is 221 E 3rd St, Lebanon, IL 62254-1668.
- What is Lebanon Terrace's phone number?
- The practice phone number listed in the NPPES registry for Lebanon Terrace is (618) 537-4133.
- Who is the authorized official for Lebanon Terrace?
- The authorized official listed on Lebanon Terrace's NPPES record is Donna Jones, Qmrp. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lebanon Terrace's NPI active?
- Yes — Lebanon Terrace's NPI (1104945716) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.