OrganizationActive
Illinois Department of Human Services
NPI 1639214760 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Centralia, IL
Provider details
- NPI number
- 1639214760
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- James Veach, Center Director(618) 532-1811
- License
- 805-8000 (IL)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityPrimary320600000XLicense 805-8000 (IL)
Residential Treatment Facilities
Profile Score
Detailed profile(89/100 index)
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
1535 W Mccord St
Centralia, IL 62801-5805
Phone: (618) 532-1811
Fax: (618) 532-7464
Street-level locationGet directions
Mailing address
1535 W Mccord St
Centralia, IL 62801-5805
Other names (DBA / former)
- Doing business as
- Murray Developmental Center
Registry dates
- Enumerated
- 2007-02-20
- Last updated
- 2008-06-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.