Park Point Supportive Living LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

PARK POINT SUPPORTIVE LIVING LLC

Practice address

1221 Edgewater Dr
Morris, IL 60450-2508

Phone

(815) 416-6200

NPI assigned

Jun 24, 2013

Organization subpart

No

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

Authorized official

Name

Michael Stein

Title

Owner

Phone

(773) 230-7762

Specialties & licenses 1

Addresses

Other names 1

• Pointe at Morris Doing business as

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

CLIA laboratory certificates

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

{
    "created_epoch": "1372032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619395200000",
    "number": "1669811501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 EDGEWATER DR",
            "city": "MORRIS",
            "state": "IL",
            "postal_code": "604502508",
            "telephone_number": "815-416-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 EDGEWATER DR",
            "city": "MORRIS",
            "state": "IL",
            "postal_code": "604502508",
            "telephone_number": "815-416-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK POINT SUPPORTIVE LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-24",
        "last_updated": "2021-04-26",
        "certification_date": "2021-04-26",
        "status": "A",
        "authorized_official_last_name": "STEIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-230-7762"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pointe at Morris",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jaime Palacios, LCSW
• Patricia Panelli, MD
• Panoptic Health Service Inc
• Panoptic Home Care LLC
• Sapana A Parikh, D.M.D.
• Park Pointe Healthcare & Rehabilitation Center,LLC
• Jade Parrish
• Brittany Parsons, OT
• Laura Catherine Passerman, SLP
• Biren M. Patel, M.D.

• All providers in Morris, IL
• Assisted Living Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2021; 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.