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PINECREST MANOR
NPI 1548412976
Private Vehicle in Mount Morris, IL

Active since October 16, 2008
414 S WESLEY AVE, MOUNT MORRIS, IL 61054(815) 734-4103(815) 734-7318 Get Directions Write a Review

NPPES record last updated: January 20, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Pinecrest Manor NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PINECREST MANOR (NPI 1548412976) is a healthcare organization registered as a private vehicle in Mount Morris, Illinois and active in the NPI registry since October 2008. The organization lists Carol A Davis, Ceo/administrator, as its authorized official.

NPPES Registry Identity

NPI1548412976
Entity TypeOrganization
Primary Taxonomy347C00000X
Legal Business NameBRETHREN HOME
Location Address414 S WESLEY AVEMount Morris, IL 61054-1428
Mailing Address414 S Wesley AveMount Morris, IL 61054-1428 · (815) 734-4103 · Fax (815) 734-7318
Phone(815) 734-4103
Fax(815) 734-7318
Organization SubpartNo
Authorized OfficialCarol A DavisCeo/administrator · (815) 734-4103
Enumeration DateOctober 16, 2008
Last NPPES UpdateJanuary 20, 2009
✔ NPI 1548412976 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPrivate VehicleTransportation Services
Taxonomy Code347C00000X
Definition
An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.
414 S WESLEY AVE, Mount Morris, IL 61054
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Other Names 1

Doing Business AsPinecrest Manor

Other Identifiers 2

Medicare PIN14-5024IL
Medicaid=========001IL

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRETHREN HOME
Skilled Nursing Facility
414 S WESLEY AVE
MOUNT MORRIS, IL 61054
Ogle County (815) 734-4103
BRETHREN HOME
Clinic/Center (Physical Therapy)
414 S WESLEY AVE
MOUNT MORRIS, IL 61054
Ogle County (815) 734-4103
KRISTIN CHARLESTON PTA
Physical Therapy Assistant
414 S WESLEY AVE
MOUNT MORRIS, IL 61054
Ogle County (815) 734-4103
KRISTEN GILBERT COTA
Occupational Therapy Assistant
414 S WESLEY AVE
MOUNT MORRIS, IL 61054
Ogle County (815) 734-4103
MRS. WHITNEY ANN CERVANTEZ M.S. SLP
Speech-Language Pathologist
414 S WESLEY AVE
MOUNT MORRIS, IL 61054
Ogle County (815) 734-4103
ALLURE OF PINECREST LLC
Skilled Nursing Facility
414 S WESLEY AVE
MOUNT MORRIS, IL 61054
Ogle County (815) 734-4103

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brethren Home's NPI number?

The NPI number for Brethren Home is 1548412976. It was assigned to this organization in the NPPES registry on October 16, 2008. The provider is doing business as Pinecrest Manor.

Where is Brethren Home located?

Brethren Home is located at 414 S Wesley Ave, Mount Morris, IL 61054. The listed phone number is (815) 734-4103.

What is Brethren Home's specialty?

The primary specialty registered for this NPI is Private Vehicle with taxonomy code 347C00000X.

When was this NPI record last updated?

The NPPES record for Brethren Home was last updated on January 20, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.