St Marys Square Living Center – Intellectual Disabilities Intermediate Care Facility, NPI 1114140373

St Marys Square Living Center is a healthcare provider. based in Galesburg, Illinois. specializing in Intellectual Disabilities Intermediate Care Facility. The organization holds a License No. 003406 (IL). The NPI Number for St Marys Square Living Center is 1114140373

Main info

Organization
Name
St Marys Square Living Center
NPI
1114140373
Phone
(309) 343-4101
Address
239 S CHERRY STREET
Authorized Official
MR. BOBBY D DILLARD ADMINISTRATOR MS LNHA
Enumeration Date
10 April 2007
Last Update Date
22 August 2020
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness80
Years active:19State licenses:1Digital endpointsUpdated within 12 months

Provider Addresses for St Marys Square Living Center

  • 239 S CHERRY STREET

    GALESBURG, IL 61401

    Phone: (309) 343-4101

    Fax: (309) 343-4106

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 61401)

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Frequently asked questions

What NPI should I save for St Marys Square Living Center?
Save NPI 1114140373 if you need a stable reference for St Marys Square Living Center.
Is St Marys Square Living Center active in the national directory?
St Marys Square Living Center's public NPI profile is in an active state.
Does St Marys Square Living Center list a primary specialty?
If you are matching referrals, note Intellectual Disabilities Intermediate Care Facility for St Marys Square Living Center. Clinical services aligned with this taxonomy classification.
Where is St Marys Square Living Center's primary listing?
We display Galesburg, Illinois because that is what the record indicates for St Marys Square Living Center.
Is St Marys Square Living Center a real provider?
This page reflects official NPPES data for NPI 1114140373. Always confirm identity and privileges with the practice and licensing boards.

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