PINNACLE OPPORTUNITIES INC NPI 1780856450

NPI Information

  • NPI: 1780856450
  • Provider Name: PINNACLE OPPORTUNITIES INC
  • Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
  • Entity Type: Organization
  • Doing Business As: GRAVLIN SQUARE
  • Address: 482 S SCHUYLER ST
    BRADLEY, IL
    ZIP 60915
  • Phone: (815) 933-1718

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NPI Details

PINNACLE OPPORTUNITIES INC is an intermediate care facility mentally retarded in Bradley, IL. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. PINNACLE OPPORTUNITIES INC NPI is 1780856450. The provider is registered as an organization entity type.
The provider Is Doing Business As Gravlin Square.

The provider's business location address is:

482 S SCHUYLER ST
BRADLEY, IL
ZIP 60915-344
Phone: (815) 933-1718
Fax: (815) 933-1756

The provider's authorized official is Ronald 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 4/2/2008 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 Disabilities47993ILLINOISYes

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=========009MEDICAIDILLINOIS

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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