Jack Mabley Dvelopmental Center
NPI 1104961820 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Dixon, IL
Jack Mabley Dvelopmental Center is a Intellectual and/or Developmental Disabilities Residential Treatment Facility organization in Dixon, IL (NPI 1104961820).
Provider details
- NPI number
- 1104961820
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Sharon Deberry, Center Director(815) 288-8330
Specialties & taxonomies
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
Other names (DBA / former)
- Other name
- Thurber Home
Registry dates
- Enumerated
- 2007-02-20
- Last updated
- 2022-07-21
Frequently asked questions
- What is Jack Mabley Dvelopmental Center's NPI number?
- Jack Mabley Dvelopmental Center's National Provider Identifier (NPI) is 1104961820, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jack Mabley Dvelopmental Center?
- Jack Mabley Dvelopmental Center is classified in the NPPES registry as Intellectual and/or Developmental Disabilities Residential Treatment Facility (Residential Treatment Facilities).
- Where is Jack Mabley Dvelopmental Center located?
- Jack Mabley Dvelopmental Center's practice location on file with NPPES is 1120 Washington Ave, Dixon, IL 61021-1258.
- What is Jack Mabley Dvelopmental Center's phone number?
- The practice phone number listed in the NPPES registry for Jack Mabley Dvelopmental Center is (815) 288-8331.
- Who is the authorized official for Jack Mabley Dvelopmental Center?
- The authorized official listed on Jack Mabley Dvelopmental Center's NPPES record is Sharon Deberry, Center Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jack Mabley Dvelopmental Center's NPI active?
- Yes — Jack Mabley Dvelopmental Center's NPI (1104961820) is active in the NPPES registry as of the last update on 2022-07-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.