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PINNACLE OPPORTUNITIES INC NPI 1972775807


NPI Information

NPI: 1972775807
Provider Name: PINNACLE OPPORTUNITIES INC

Doing Business As: KANKAKEE COURT

Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
Entity Type: Organization
Address:
260 S CHICAGO AVENUE
KANKAKEE, IL
ZIP 60901
Phone: (815) 936-0905
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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 1972775807. The provider is registered as an organization entity type.
The provider Is Doing Business As Kankakee Court.

The provider's business location address is:

260 S CHICAGO AVENUE
KANKAKEE, IL
ZIP 60901-005
Phone: (815) 936-0905

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 4/1/2008 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1315P00000XIntermediate Care Facility, Intellectual Disabilities43257ILLINOISYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1=========003MEDICAIDILLINOIS

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: 4/28/2024

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