Provider Demographics
NPI:1780660878
Name:THE POINTE AT KILPATRICK
Entity type:Organization
Organization Name:THE POINTE AT KILPATRICK
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER OF GENERAL PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:G
Authorized Official - Last Name:STEIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-230-7762
Mailing Address - Street 1:14230 KILPATRICK AVE
Mailing Address - Street 2:
Mailing Address - City:CRESTWOOD
Mailing Address - State:IL
Mailing Address - Zip Code:60445-2399
Mailing Address - Country:US
Mailing Address - Phone:708-293-0010
Mailing Address - Fax:708-293-0020
Practice Address - Street 1:14230 KILPATRICK AVE
Practice Address - Street 2:
Practice Address - City:CRESTWOOD
Practice Address - State:IL
Practice Address - Zip Code:60445-2399
Practice Address - Country:US
Practice Address - Phone:708-293-0010
Practice Address - Fax:708-293-0020
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-20
Last Update Date:2025-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
No311500000XNursing & Custodial Care FacilitiesAlzheimer Center (Dementia Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL364391041001Medicaid