Organization Active NPI

Pointe at Jacksonville, LLC

  • Assisted Living Facility
  • Jacksonville, IL
National Provider Identifier
1841846607
Registry record updated Apr 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
POINTE AT JACKSONVILLE, LLC
Practice address
20 Jacksonville PL
Jacksonville, IL 62650-3716
Phone
(815) 416-6206
Fax
(815) 416-6201
NPI assigned
Aug 16, 2019
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
Owner
Phone
(815) 416-6206

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary
Alzheimer Center (Dementia Center) 311500000X

Addresses

Primary practice location

20 Jacksonville PL
Jacksonville, IL 62650-3716

Mailing address

20 Jacksonville PL
Jacksonville, IL 62650-3716
Phone (815) 416-6206

Other names 1

  • The Pointe At Jacksonville, LLC 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
14D2178112The Pointe of Jacksonville20 Jacksonville Place, Jacksonville, IL 62650Certificate of waiverJan 26, 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": "1565913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745539200000",
    "number": "1841846607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 JACKSONVILLE PL",
            "city": "JACKSONVILLE",
            "state": "IL",
            "postal_code": "626503716",
            "telephone_number": "815-416-6206",
            "fax_number": "815-416-6201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 JACKSONVILLE PL",
            "city": "JACKSONVILLE",
            "state": "IL",
            "postal_code": "626503716",
            "telephone_number": "815-416-6206",
            "fax_number": "815-416-6201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POINTE AT JACKSONVILLE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-16",
        "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": "OWNER",
        "authorized_official_telephone_number": "815-416-6206",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Pointe At Jacksonville, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Pointe At Jacksonville, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jacksonville, 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.