Community Residential Centers Inc
NPI 1114140373 · Intellectual Disabilities Intermediate Care Facility · Galesburg, IL
Community Residential Centers Inc is a Intellectual Disabilities Intermediate Care Facility organization in Galesburg, IL (NPI 1114140373).
Provider details
- NPI number
- 1114140373
- Entity type
- Organization
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Bobby Dillard, Administrator(309) 343-4101
- License
- 003406 (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
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)
- Doing business as
- St Marys Square Living Center
Registry dates
- Enumerated
- 2007-04-10
- Last updated
- 2020-08-22
Frequently asked questions
- What is Community Residential Centers Inc's NPI number?
- Community Residential Centers Inc's National Provider Identifier (NPI) is 1114140373, 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 S Cherry Street, Galesburg, IL 61401.
- 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 Bobby Dillard, Administrator. 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 (1114140373) 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.