NPIMap

Organization Active NPI

Pinnacle Opportunities Inc

  • Intellectual Disabilities Intermediate Care Facility
  • Kankakee, IL
National Provider Identifier
1962674895
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
43356 Issued in IL
Legal business name
PINNACLE OPPORTUNITIES INC
Practice address
275 W Station Street
Kankakee, IL 60901-3778
Phone
(815) 939-4492
NPI assigned
Apr 1, 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 43356 IL Primary

Addresses

Primary practice location

275 W Station Street
Kankakee, IL 60901-3778

Mailing address

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

Other names 1

  • Station Court Doing business as

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 14G307

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
STATION COURT
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
Sep 30, 1993
Last certification
Jan 23, 2025
Beds
6
Ownership / control type
Private (non-profit)
Facility address
275 West Station Street
Kankakee, IL 60901

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.

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": "1207008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1962674895",
    "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": "275 W STATION STREET",
            "city": "KANKAKEE",
            "state": "IL",
            "postal_code": "609013778",
            "telephone_number": "815-939-4492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINNACLE OPPORTUNITIES INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PINNACLE OPPORTUNITIES INC",
        "enumeration_date": "2008-04-01",
        "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": "43356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Station Court",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kankakee, IL

Sources for this page

Verify at the official NPI Registry.