THE POINTE AT KILPATRICK (NPI# 1780660878) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780660878 |
| Entity Type | Organization |
| Organization Name | THE POINTE AT KILPATRICK |
| Practice Address |
14230 Kilpatrick Ave Crestwood IL 60445-2399 |
| Practice Telephone | 7082930010 |
| Practice Fax Number | 7082930020 |
| Mailing Telephone | 7082930010 |
| Mailing Fax Number | 7082930020 |
| Enumeration Date | 2005-12-20 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. MICHAEL CHARLES BRAUN (CONTROLLER) |
| Authorized Official Telephone | 8475830100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311Z00000X | Custodial Care Facility | Nursing & Custodial Care Facilities |
| Street Address |
14230 KILPATRICK AVE |
| City | CRESTWOOD |
| State | IL |
| Zip Code | 60445-2399 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285190090 | Karin Lynn Labriola | Physical Therapy Assistant | 14230 Kilpatrick Ave, Crestwood, IL 60418-2399 | 2019-02-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861911398 | Paula Marie Jensen Hallahan | Psychologist | Hermansen Elementary School, 101 Wesglen Parkway, Romeoville, IL 60445 | 2017-09-15 |
| 1861933756 | Reginald Castillo | Emergency Medical Technician, Paramedic | 4939 East Circle Dr. #206, Crestwood, IL 60445 | 2017-03-13 |
| 1801259684 | Bruce Frank Leo | Hearing Instrument Specialist | 5553 W. 127th St, Crestwood, IL 60445 | 2016-03-30 |
| 1801291687 | Annie Eyer | Behavioral Analyst | 4942 138th Place, Crestwood, IL 60445 | 2014-10-23 |
| 1679997266 | Phoenix Behavioral Services, Inc | Case Management | 4649 147th Street, Midlothian, IL 60445 | 2014-02-18 |
| 1841537149 | Lacy Carol Little | Speech-Language Pathologist | 14715 Leclaire Ave., Midlothian, IL 60445 | 2013-01-08 |
| 1164709291 | Kathleen Chaudhari | Pharmacist | 4800 W 148th Street, Midlothian, IL 60445 | 2011-11-03 |
| 1063715498 | Amanda Rea Bird | Behavioral Analyst | 5415 129th Pl, Apt 4, Crestwood, IL 60445 | 2010-12-07 |
| 1831376615 | Plaza Nursing & Rehab Center, LLC | Durable Medical Equipment & Medical Supplies | 3249 W 147th St, Midlothiian, IL 60445 | 2008-01-24 |
| 1154475630 | Kevin Martin Bargamian | Dentist | 13549 South Cicero Avenue, Crestwood, IL 60445 | 2007-01-22 |
| Find all providers in zip 60445 | ||||
| Taxonomy Code | 311Z00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| A facility providing care that serves to assist an individual in the activities of daily living, such as assistance in walking, getting in and out of bed, bathing, dressing, feeding, and using the toilet, preparation of special diets, and supervision of medication that usually can be self-administered. Custodial care essentially is personal care that does not require the continuing attention of trained medical or paramedical personnel. |
| Notes: Source: Paraphrased from Section 3159 A3 of the Medicare Intermediary Manual. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831405695 | Favor In The Land | Custodial Care Facility | 150 N Mason Ave, 1suite, Chicago, IL 60644-2801 | 2010-08-30 |
| 1598947418 | Ingalls Home Care | Custodial Care Facility | 19730 Governors Hwy, Flossmoor, IL 60422-2082 | 2007-12-03 |
| 1841479797 | Villa Health Care Inc | Custodial Care Facility | 100 Stardust Dr, Sherman, IL 62684-9763 | 2007-10-29 |
| 1831275999 | Eastgate Manor of Algonquin LLC | Custodial Care Facility | 101 Eastgate Court, Algonquin, IL 60102 | 2006-10-31 |
| 1396840153 | Good Samaritan Home of Quincy | Custodial Care Facility | 2130 Harrison St, Quincy, IL 62301-6756 | 2006-09-14 |
| 1558343301 | St. Marys Health Care Center Investors LLC | Custodial Care Facility | 401 Saint Marys Dr, Edwardsville, IL 62025-4276 | 2005-11-17 |
| 1659368264 | Gaf/lake Cook Terrace | Custodial Care Facility | 263 Skokie Blvd, Northbrook, IL 60062-1611 | 2005-09-29 |
| 1457705774 | J and F Professional In Home Care Services for Seniors | Custodial Care Facility | 328 Sherry Ln, Chicago Heights, IL 60411-1079 | 2016-04-22 |
| 1760804967 | Treaad Incorporated | Custodial Care Facility | 600 Borden St, Woodstock, IL 60098-2137 | 2014-01-08 |
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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.