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PINNACLE OPPORTUNITIES INC NPI 1295907640


NPI Information

NPI: 1295907640
Provider Name: PINNACLE OPPORTUNITIES INC

Doing Business As: DEARBORN COURT

Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
Entity Type: Organization
Address:
520 S DEARBORN AVENUE
KANKAKEE, IL
ZIP 60901
Phone: (815) 933-7374
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PINNACLE OPPORTUNITIES INC is an intermediate care facility mentally retarded in Kankakee, IL. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. PINNACLE OPPORTUNITIES INC NPI is 1295907640. The provider is registered as an organization entity type.
The provider Is Doing Business As Dearborn Court.

The provider's business location address is:

520 S DEARBORN AVENUE
KANKAKEE, IL
ZIP 60901-153
Phone: (815) 933-7374
Fax: (815) 936-1548

The provider's authorized official is Robert J Wilson .
The authorized official title is Authorized Agent and has the following contact phone number (309) 343-1550.

The enumeration date for this NPI number is 3/26/2008 and was last updated on 4/20/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1315P00000XIntermediate Care Facility, Intellectual Disabilities43208ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1=========001MEDICAIDILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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