Organization Active NPI

Pontiac Supportive Living, LLC

Doing business as Pointe at Pontiac

  • Assisted Living Facility
  • Pontiac, IL
National Provider Identifier
1275076028
Registry record updated Apr 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
PONTIAC SUPPORTIVE LIVING, LLC
Doing business as
Pointe at Pontiac
The Pointe at Pontiac
Practice address
120 N Deerfield Rd
Pontiac, IL 61764-9403
Phone
(815) 844-6300
Fax
(815) 844-6301
NPI assigned
Nov 28, 2016
Last updated
Apr 25, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Michael Stein
Title
Managing Member
Phone
(773) 230-7762

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X IL Primary

Addresses

Primary practice location

120 N Deerfield Rd
Pontiac, IL 61764-9403

Mailing address

120 N Deerfield Rd
Pontiac, IL 61764-9403
Phone (815) 844-6300

Other names 2

  • Pointe at Pontiac Doing business as
  • The Pointe at Pontiac Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D2177662Pointe at Pontiac, the120 N Deerfield Rd, Pontiac, IL 61764Certificate of waiverJan 14, 2028

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1480291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745539200000",
    "number": "1275076028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 N DEERFIELD RD",
            "city": "PONTIAC",
            "state": "IL",
            "postal_code": "617649403",
            "telephone_number": "815-844-6300",
            "fax_number": "815-844-6301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 N DEERFIELD RD",
            "city": "PONTIAC",
            "state": "IL",
            "postal_code": "617649403",
            "telephone_number": "815-844-6300",
            "fax_number": "815-844-6301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PONTIAC SUPPORTIVE LIVING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-28",
        "last_updated": "2025-04-25",
        "certification_date": "2025-04-25",
        "status": "A",
        "authorized_official_last_name": "STEIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "773-230-7762",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pointe at Pontiac",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Pointe at Pontiac",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pontiac, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.