Healthcare Provider Details

I. General information

NPI: 1134018120
Provider Name (Legal Business Name): POINTE AT CRETE OPERATOR LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/02/2025
Last Update Date: 09/17/2025
Certification Date: 09/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1255 E RICHTON RD
CRETE IL
60417-1623
US

IV. Provider business mailing address

1255 E RICHTON RD
CRETE IL
60417-1623
US

V. Phone/Fax

Practice location:
  • Phone: 708-892-2180
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code311500000X
TaxonomyAlzheimer Center (Dementia Center)
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL STEIN
Title or Position: MANAGING MEMBER
Credential:
Phone: 773-230-7762