NPIMap

Organization Active NPI

Milestone, Inc.

  • Intellectual Disabilities Intermediate Care Facility
  • Rockford, IL
National Provider Identifier
1790909984
Registry record updated Sep 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
003 Issued in IL
Legal business name
MILESTONE, INC.
Practice address
2642 Elmwood Rd
Rockford, IL 61103-1573
Phone
(815) 639-2741
NPI assigned
Apr 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2025

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

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X 003 IL Primary

Addresses

Primary practice location

2642 Elmwood Rd
Rockford, IL 61103-1573

Mailing address

4060 McFarland Rd
Loves Park, IL 61111-4402
Phone (815) 654-6100

Other names 1

  • Milestone-Elmwood East Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Intermediate care facility for individuals with intellectual disabilities certification: CCN 14G091

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
MILESTONE - ELMWOOD EAST
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
Oct 14, 1984
Last certification
Dec 19, 2024
Beds
12
Ownership / control type
Private (non-profit)
Most recent change of ownership
Aug 4, 2006
Facility address
2642 Elmwood Road
Rockford, IL 61103

National Provider Directory

National Provider Directory
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.

NPI Registry JSON

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756944000000",
    "number": "1790909984",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2642 ELMWOOD RD",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611031573",
            "telephone_number": "815-639-2741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILESTONE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "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": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "IL",
            "license": "003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Milestone-Elmwood East",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Rockford, IL

Sources for this page

Verify at the official NPI Registry.