Springbrook Home
LBN: Jack Mabley Developmental Center
Springbrook Home is an health care organization with primary practice located at 1120 Washington Ave , Dixon IL 61021-1258. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty.
Jack Mabley Developmental Center can be contacted via phone (815) 288-8331, or through Deberry, Sharon via phone (815) 288-8330.
Contact Information
Primary practice address
1120 Washington Ave
Dixon IL 61021-1258
Phone: (815) 288-8331
Fax: (815) 288-7275
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 320600000X | Illinois |
Profile Details
| NPI number | 1770628398 |
|---|---|
| LBN Legal business name | Jack Mabley Developmental Center |
| DBA Doing business as | Springbrook Home |
| Authorized official | Deberry, Sharon |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 21st, 2007 |
| Last updated | Jul 21st, 2022 - about 3 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770628398 | NPPES |
| Illinois | Other | 1376525204 | CENTER NPI NUMBER |
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