Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Autumn Leaves, Inc

Organization Intellectual Disabilities Intermediate Care Facility · NPI 1891824892

Autumn Leaves, Inc is an Intellectual Disabilities Intermediate Care Facility in Decatur, Illinois. Licensed in Illinois. Registered with an NPI since 2007.

Licensed in
IL
In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3905 E Hickory St
Decatur, IL 62521
Phone: (217) 429-8231
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual Disabilities Intermediate Care Facility (primary) Taxonomy 315P00000X · Licence 37846 (IL)

Record details

NPI number1891824892
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationAutumn Leaves Inc
Authorized official David Jacobus — President · (217) 763-2191
Other names Hickory Street Place
NPI enumeratedMarch 5, 2007
Last updated in NPPESJanuary 23, 2017
Mailing address2576 N Greenway Rd, Cerro Gordo, IL 61818-3022

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