NPIMap

Organization Active NPI

Pinnacle Opportunities Inc

  • Intellectual Disabilities Intermediate Care Facility
  • Bradley, IL
National Provider Identifier
1780856450
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
47993 Issued in IL
Legal business name
PINNACLE OPPORTUNITIES INC
Practice address
482 S Schuyler St
Bradley, IL 60915-2344
Phone
(815) 933-1718
Fax
(815) 933-1756
NPI assigned
Apr 2, 2008
Organization subpart
Yes
Parent organization
PINNACLE OPPORTUNITIES INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Mr. Ronald J Wilson
Title
Authorized Agent
Phone
(309) 343-1550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X 47993 IL Primary

Addresses

Primary practice location

482 S Schuyler St
Bradley, IL 60915-2344

Mailing address

285 South Farnham Street
Galesburg, IL 61401-5323
Phone (309) 343-1550

Other names 1

  • Gravlin Square Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Pinnacle Opportunities Inc11 organizations share this tax ID, including this one
Part of
Pinnacle Opportunities Inc

Other organizations with this tax ID 10

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

Locations

482 S Schuyler Ave
Bradley, IL 60915
Phone (815) 933-1718

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1207094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1780856450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 SOUTH FARNHAM STREET",
            "city": "GALESBURG",
            "state": "IL",
            "postal_code": "614015323",
            "telephone_number": "309-343-1550",
            "fax_number": "309-343-6318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "482 S SCHUYLER ST",
            "city": "BRADLEY",
            "state": "IL",
            "postal_code": "609152344",
            "telephone_number": "815-933-1718",
            "fax_number": "815-933-1756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINNACLE OPPORTUNITIES INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PINNACLE OPPORTUNITIES INC",
        "enumeration_date": "2008-04-02",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "AUTHORIZED AGENT",
        "authorized_official_telephone_number": "309-343-1550",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "IL",
            "license": "47993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gravlin Square",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bradley, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.