PINNACLE OPPORTUNITIES INC (NPI# 1659543007) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659543007 |
| Entity Type | Organization |
| Organization Name | PINNACLE OPPORTUNITIES INC |
| Other Organization Name | CHAMNESS SQUARE |
| Practice Address |
340 Heritage Drive Bourbonnais IL 60914-1261 |
| Mailing Address |
285 South Farnham Street Galesburg IL 61401-5323 |
| Practice Telephone | 8159322745 |
| Practice Fax Number | 8159361739 |
| Mailing Telephone | 3093431550 |
| Mailing Fax Number | 3093436318 |
| Enumeration Date | 2008-03-26 |
| Last Update Date | 2008-04-20 |
| Authorized Official Name | MR. RONALD J WILSON (AUTHORIZED AGENT) |
| Authorized Official Telephone | 3093431550 |
| Is Organization Subpart | Y |
| Parent Organization Name | PINNACLE OPPORTUNITIES INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | 48017 | IL | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Chamness Square | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417129180 | Pinnacle Opportunities Inc | Intermediate Care Facility, Mentally Retarded | 362 Roy Street, Bourbonnais, IL 60914-1935 | 2008-04-02 |
| 1780856450 | Pinnacle Opportunities Inc | Intermediate Care Facility, Mentally Retarded | 482 S Schuyler St, Bradley, IL 60915-2344 | 2008-04-02 |
| 1326210097 | Pinnacle Opportunities Inc | Intermediate Care Facility, Mentally Retarded | 760 E River Street, Kankakee, IL 60901-5266 | 2008-04-02 |
| 1225200157 | Pinnacle Opportunities Inc | Intermediate Care Facility, Mentally Retarded | 1890 E Eagle Street, Kankakee, IL 60901-5714 | 2008-04-01 |
| 1982876819 | Pinnacle Opportunities Inc | Intermediate Care Facility, Mentally Retarded | 1180 S Fourth Avenue, Kankakee, IL 60901-4925 | 2008-04-01 |
| 1972775807 | Pinnacle Opportunities Inc | Intermediate Care Facility, Mentally Retarded | 260 S Chicago Avenue, Kankakee, IL 60901-4005 | 2008-04-01 |
| 1962674895 | Pinnacle Opportunities Inc | Intermediate Care Facility, Mentally Retarded | 275 W Station Street, Kankakee, IL 60901-3778 | 2008-04-01 |
| 1295907640 | Pinnacle Opportunities Inc | Intermediate Care Facility, Mentally Retarded | 520 S Dearborn Avenue, Kankakee, IL 60901-5153 | 2008-03-26 |
| 1922270370 | Pinnacle Opportunities Inc | Intermediate Care Facility, Mentally Retarded | 145 S Crosswell Avenue, Bradley, IL 60915-2026 | 2008-03-26 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | PINNACLE OPPORTUNITIES INC | 285 South Farnham St, Galesburg, IL 61401-5323 |
| Street Address |
340 HERITAGE DRIVE |
| City | BOURBONNAIS |
| State | IL |
| Zip Code | 60914-1261 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326648023 | Jacob Daniel Ledesma | Physical Therapist | 588 William R Latham Senior Dr Ste 5, Bourbonnais, IL 60914 | 2020-10-30 |
| 1467069823 | Alicia Nicole Kendra | Nurse Practitioner | Upliftedcare, 482 Main St. Nw, Bourbonnais, IL 60914 | 2020-09-29 |
| 1043860877 | Victor Manuel Vazquez Cervantes | Pharmacist | 2080 No, Il-50, Bourbonnais, IL 60914 | 2019-09-13 |
| 1740843267 | Panoptic Physical Therapy LLC | Physical Medicine & Rehabilitation | 1511 N. Convent St Suite 1000, Bourbonnais, IL 60914 | 2019-04-19 |
| 1770074577 | Colin P Koerner | Physical Therapist | 215 N Convent St Ste 6, Bourbonnais, IL 60914 | 2018-05-29 |
| 1306337340 | Megan Hoskins | Behavior Technician | 3187 N 2420 W Rd., Bourbonnais, IL 60914 | 2018-05-25 |
| 1932600459 | Thomas H George Dds PC | Clinic/Center | 14 Briarcliff Professional Center, Bourbonnais, IL 60914 | 2018-02-21 |
| 1780193904 | Kathleen M Saindon II | Speech-Language Pathologist | 1021 Deer Trail, Bourbonnais, IL 60914 | 2017-09-20 |
| 1457870206 | Janet Mary Notton | Speech-Language Pathologist | 920 W Margaret Lane, Bourbonnais, IL 60914 | 2017-09-13 |
| 1134646375 | Sagar Batish | Student in an Organized Health Care Education/Training Program | 1096 Country Lane, Bourbonnais, IL 60914 | 2017-08-28 |
| Find all providers in zip 60914 | ||||
| Taxonomy Code | 315P00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mentally Retarded |
| (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. |
| Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417129180 | Pinnacle Opportunities Inc | Intermediate Care Facility, Mentally Retarded | 362 Roy Street, Bourbonnais, IL 60914-1935 | 2008-04-02 |
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| 1437515434 | Tdl Group, Inc. | Intermediate Care Facility, Mentally Retarded | 206 N Washington St, Mc Leansboro, IL 62859-1049 | 2016-01-06 |
| 1790141885 | Tdl Group, Inc | Intermediate Care Facility, Mentally Retarded | 212 Turning Leaf Cir, Belleville, IL 62221-6747 | 2016-01-06 |
| 1790141794 | Tdl Group, Inc. | Intermediate Care Facility, Mentally Retarded | 867 County Road 2150 E, Fairfield, IL 62837-2824 | 2016-01-06 |
| 1255797254 | Tdl Group, Inc. | Intermediate Care Facility, Mentally Retarded | 9135 N Spring Garden Ln, Mount Vernon, IL 62864-6624 | 2016-01-06 |
| Find all providers with the same taxonomy | ||||
| City | BOURBONNAIS |
| Zip Code | 60914 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.