OrganizationActive
Community Living Options Inc
NPI 1114199569 · Intellectual Disabilities Intermediate Care Facility · Beardstown, IL
Provider details
- NPI number
- 1114199569
- Entity type
- Organization
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Parent organization
- Community Living Options Inc
- Organization subpart
- Yes
- Authorized official
- Ronald Wilson, Authorized Agent(309) 343-1550
- License
- 35766 (IL)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
310 E Eight Street
Beardstown, IL 62618-1853
Phone: (217) 323-5544
Fax: (217) 323-3331
Approximate (ZIP-level) locationGet directions
Mailing address
285 South Farnham Street
Galesburg, IL 61401-5323
Other names (DBA / former)
- Doing business as
- Beardstown Terrace
Registry dates
- Enumerated
- 2008-03-26
- Last updated
- 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.