OrganizationActive
Community Living Options
NPI 1528423407 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Galesburg, IL
Provider details
- NPI number
- 1528423407
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Ronald Wilson, Authorized Agent(309) 343-1550
- License
- 201300004S (IL)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000XLicense 201300004S (IL)
Residential Treatment Facilities
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
285 S Farnham St
Galesburg, IL 61401-5323
Phone: (309) 343-1550
Street-level locationGet directions
Mailing address
285 S Farnham St
Galesburg, IL 61401-5323
Registry dates
- Enumerated
- 2015-12-21
- Last updated
- 2015-12-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.