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

Elm City Rehabilitation Center, Inc

Organization Developmentally Disabled Services Day Training Agency · NPI 1679924450

Elm City Rehabilitation Center, Inc is a Developmentally Disabled Services Day Training Agency in Jacksonville, Illinois. Licensed in Illinois. Registered with an NPI since 2016.

Licensed in
IL
In the registry since
2016
Specialties on file
2
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

1314 W Walnut St
Jacksonville, IL 62650-1148
Phone: (217) 245-9504
Fax: (217) 245-2350
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Developmentally Disabled Services Day Training Agency (primary) Taxonomy 251C00000X · Licence 0517 (IL)
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Taxonomy 320900000X · Licence 201200001S (IL)

Record details

NPI number1679924450
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Thomas Frederick — President/Ceo · (217) 245-9504
Other names Elm City Center
NPI enumeratedJune 23, 2016
Last updated in NPPESJune 23, 2016
Mailing address1314 W Walnut St, Jacksonville, IL 62650-1148

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