Autumn Leaves, Inc.
NPI 1306975594ActiveOrganization· Intermediate Care Facility, Intellectual Disabilities· Decatur, IL
Intermediate Care Facility, Intellectual Disabilities in Decatur, Illinois, registered in NPPES in March 2007, part of Autumn Leaves, Inc. The authorized official on file is David Michael Jacobus, President.
Overview
| NPI | 1306975594 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Autumn Leaves, Inc |
| NPI issued | Mar 5, 2007 |
| Last updated in NPPES | Jan 23, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Intermediate Care Facility, Intellectual Disabilities Primary | 315P00000X | 38729 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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