Milestone, Inc.

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

License

0024943 Issued in IL

Legal business name

MILESTONE, INC.

Practice address

2662 Elmwood Rd
Rockford, IL 61103-1573

Phone

(815) 877-7001

NPI assigned

Apr 10, 2007

Organization subpart

No

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

Authorized official

Name

Mr. William C. Grahn

Title

President & C.E.O.

Phone

(815) 639-2817

Specialties & licenses 1

Addresses

Other names 1

• Milestone-Elmwood Heights Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Intermediate care facility for individuals with intellectual disabilities certification: CCN 14G055

Legal name

MILESTONE - ELMWOOD HEIGHTS

Certification status

Active

Provider type (POS)

Intermediate care facility for individuals with intellectual disabilities

Participating since

Sep 1, 1982

Last certification

Nov 23, 2024

Beds

84 (67 certified)

Ownership / control type

Private (non-profit)

Most recent change of ownership

Jul 28, 2006

Facility address

2662 Elmwood Road
Rockford, IL 61103

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

CLIA laboratory certificates

Tax ID family

Milestone Inc8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

• Milestone Dental Clinic

  • General Practice Dentistry
  • Rockford, IL
  • NPI 1841461845
  NPD tax ID
• Milestone, Inc.

  • Adult Mental Health Clinic/Center
  • Loves Park, IL
  • NPI 1235012444
  NPD tax ID
• Milestone, Inc.

  • Intellectual Disabilities Intermediate Care Facility
  • Rockford, IL
  • NPI 1407070691
  NPD tax ID
• Milestone, Inc.

  • Intellectual Disabilities Intermediate Care Facility
  • Rockford, IL
  • NPI 1457574675
  NPD tax ID
• Milestone, Inc.

  • Dentist
  • Rockford, IL
  • NPI 1689848798
  NPD tax ID
• Milestone, Inc.

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Loves Park, IL
  • NPI 1710053046
  NPD tax ID
• Milestone, Inc.

  • Intellectual Disabilities Intermediate Care Facility
  • Rockford, IL
  • NPI 1790909984
  NPD tax ID

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756944000000",
    "number": "1407079635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4060 MCFARLAND RD",
            "city": "LOVES PARK",
            "state": "IL",
            "postal_code": "611114402",
            "telephone_number": "815-654-6100",
            "fax_number": "815-654-6444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2662 ELMWOOD RD",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611031573",
            "telephone_number": "815-877-7001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILESTONE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A",
        "authorized_official_last_name": "GRAHN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRESIDENT & C.E.O.",
        "authorized_official_telephone_number": "815-639-2817",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "IL",
            "license": "0024943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Milestone-Elmwood Heights",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jennifer Marie Mika, RBT-17-38602
• Mark Alan Milani, DDS
• Olynda Barbara Mileon-Etuk, MPH, MS, PA-C
• Milestone Dental Clinic
• Milestone, Inc.
• Milestone, Inc.
• Milestone, Inc.
• Milestone, Inc.
• Goran Miljevic, PHARMD
• Christine NA-Eun Millar, MD

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Rockford, IL
• Providers in Rockford, IL by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.