Pine Terrace – Intellectual Disabilities Intermediate Care Facility, NPI 1861818031

Pine Terrace is a healthcare provider. based in Waukegan, Illinois. specializing in Intellectual Disabilities Intermediate Care Facility. The NPI Number for Pine Terrace is 1861818031

Main info

Organization
Name
Pine Terrace
NPI
1861818031
Phone
Not provided
Address
2017 N PINE ST
Authorized Official
RONALD J WILSON AUTHORIZED AGENT
Enumeration Date
12 March 2014
Last Update Date
12 March 2014
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience29
Completeness80
Years active:12State licenses:0Digital endpointsUpdated within 12 months

Provider Addresses for Pine Terrace

  • 2017 N PINE ST

    WAUKEGAN, IL 600874829

    Phone:

    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.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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 60087)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for Pine Terrace?
Pine Terrace — NPI 1861818031 — is the standard way to identify this listing.
Does CMS list Pine Terrace as active?
Yes — Pine Terrace is active in the NPI listing used on this page.
What taxonomy line describes Pine Terrace?
For research purposes, treat Pine Terrace as Intellectual Disabilities Intermediate Care Facility in this dataset. Clinical services aligned with this taxonomy classification.
Where is Pine Terrace based?
Pine Terrace is tied to Waukegan, Illinois in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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