Gillespie 694140
NPI 1881738979 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Jacksonville, IL
Gillespie 694140 is a Intellectual and/or Developmental Disabilities Residential Treatment Facility organization in Jacksonville, IL (NPI 1881738979).
Provider details
- NPI number
- 1881738979
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Susie Pennell, Administrative Assistant(217) 479-2120
Specialties & taxonomies
Residential Treatment 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
- Jacksonville Developmental Center
Registry dates
- Enumerated
- 2007-02-20
- Last updated
- 2020-08-22
Frequently asked questions
- What is Gillespie 694140's NPI number?
- Gillespie 694140's National Provider Identifier (NPI) is 1881738979, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Gillespie 694140?
- Gillespie 694140 is classified in the NPPES registry as Intellectual and/or Developmental Disabilities Residential Treatment Facility (Residential Treatment Facilities).
- Where is Gillespie 694140 located?
- Gillespie 694140's practice location on file with NPPES is 1201 S Main St, Jacksonville, IL 62650-3339.
- What is Gillespie 694140's phone number?
- The practice phone number listed in the NPPES registry for Gillespie 694140 is (217) 479-2120.
- Who is the authorized official for Gillespie 694140?
- The authorized official listed on Gillespie 694140's NPPES record is Susie Pennell, Administrative Assistant. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Gillespie 694140's NPI active?
- Yes — Gillespie 694140's NPI (1881738979) 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.