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Jack Mabley Developmental Center

Jack Mabley Developmental Center is a healthcare organization registered as Intellectual and/or Developmental Disabilities Residential Treatment Facility in Dixon, IL, holding Type 2 (organization) NPI 1285779892 since 2007. The authorized official on file is Sharon Deberry, Center Director.

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NPI 1285779892
Entity type Organization (Type 2)
Legal business name Jack Mabley Developmental Center
Other name <Unavail>
Practice address 1120 WASHINGTON AVE, Dixon, IL, 61021
Phone 8152888331
Fax 8152887275
Enumeration date 2007-02-21
Last updated in NPPES 2022-07-21

Authorized official

Name Sharon Deberry
Title Center Director
Phone 8152888330

Taxonomy & classification

Taxonomy code Specialty Primary License State
320600000X Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary IL

Other identifiers

Identifier Type State Issuer
1376525204 Other IL CENTER NPI NUMBER
Copy-ready billing details
Provider: Jack Mabley Developmental Center
NPI: 1285779892
Taxonomy: 320600000X (Intellectual and/or Developmental Disabilities Residential Treatment Facility)
Address: 1120 WASHINGTON AVE, Dixon, IL, 61021

Providers at this address

NPI Name Type Specialty Location
1376525204 Illinois Department of Human Services Organization Intellectual Disabilities Intermediate Care Facility Dixon, IL
1104961820 Jack Mabley Dvelopmental Center Organization Intellectual and/or Developmental Disabilities Residential Treatment Facility Dixon, IL
1770628398 Jack Mabley Developmental Center Organization Intellectual and/or Developmental Disabilities Residential Treatment Facility Dixon, IL
1619012234 Jack Mabley Developmental Center Organization Intellectual and/or Developmental Disabilities Residential Treatment Facility Dixon, IL
1528103140 Jack Mabley Developmental Center Organization Intellectual and/or Developmental Disabilities Residential Treatment Facility Dixon, IL
1831234475 Jack Mabley Developmental Center Organization Intellectual and/or Developmental Disabilities Residential Treatment Facility Dixon, IL
1326183948 Jack Mabley Developmental Center Organization Intellectual and/or Developmental Disabilities Residential Treatment Facility Dixon, IL

Verify this record

Cross-check NPI 1285779892 against the authoritative CMS record: view Jack Mabley Developmental Center on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Jack Mabley Developmental Center?
Jack Mabley Developmental Center is registered in NPPES as a Intellectual and/or Developmental Disabilities Residential Treatment Facility (its primary provider taxonomy).

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2022-07-21.