OrganizationActive
Rave Residential Services, Inc
NPI 1720116262 · Intellectual Disabilities Intermediate Care Facility · Jonesboro, IL
Provider details
- NPI number
- 1720116262
- Entity type
- Organization
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Gary Griffith, Administrator(618) 833-5344
- License
- 0040970 (IL)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Nursing & Custodial Care 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
1390 State Route 127 S
Jonesboro, IL 62952-2488
Phone: (618) 833-5344
Fax: (618) 833-8217
Approximate (ZIP-level) locationGet directions
Mailing address
1390 State Route 127 S
Jonesboro, IL 62952-2488
Registry dates
- Enumerated
- 2007-02-28
- Last updated
- 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.