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

Southern Illinois Living Centers Inc

Organization Intellectual Disabilities Intermediate Care Facility · NPI 1639487408

Southern Illinois Living Centers Inc is an Intellectual Disabilities Intermediate Care Facility in New Baden, Illinois. Licensed in Illinois. Registered with an NPI since 2010.

Licensed in
IL
In the registry since
2010
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

111 E Illinois St
New Baden, IL 62265-1850
Phone: (618) 588-2066
Fax: (618) 588-4673
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual Disabilities Intermediate Care Facility (primary) Taxonomy 315P00000X · Licence 0033159 (IL)

Record details

NPI number1639487408
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Brave — Administrator · (618) 588-2066
Other names Clitnon Manor Living Center
NPI enumeratedSeptember 15, 2010
Last updated in NPPESSeptember 15, 2010
Mailing address300 E Illinois St, New Baden, IL 62265-1822