MILESTONE INC. NPI 1407079635

NPI Information

  • NPI: 1407079635
  • Provider Name: MILESTONE, INC.
  • Classification: Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320600000X
  • Entity Type: Organization
  • :
  • CLIA Number: 14D2202453
  • Address: 2662 ELMWOOD RD
    ROCKFORD, IL
    ZIP 61103
  • Phone: (815) 877-7001

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NPI Details

MILESTONE, INC. is a residential treatment facility, intellectual and/or developmental disabilities in Rockford, IL. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. MILESTONE, INC. NPI is 1407079635. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

2662 ELMWOOD RD
ROCKFORD, IL
ZIP 61103-573
Phone: (815) 877-7001

The provider's authorized official is William C. Grahn .
The authorized official title is President & C.e.o. and has the following contact phone number (815) 639-2817.

The CLIA number assigned to this NPI record is 14D2202453 - intermediate care facility for mentally retarded with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/10/2007 and was last updated on 9/4/2025.

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
1320600000XResidential Treatment Facility, Intellectual and/or Developmental Disabilities0024943ILLINOISYes

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: 11/21/2025

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