PINECREST MANOR
NPI 1548412976
Private Vehicle in Mount Morris, IL

NPI Status: Active since October 16, 2008

Contact Information

414 S WESLEY AVE
MOUNT MORRIS, IL
ZIP 61054
Phone: (815) 734-4103
Fax: (815) 734-7318

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  • Organization
  • Private Vehicle

About PINECREST MANOR

This page provides the complete NPI Profile along with additional information for Pinecrest Manor, a provider established in Mount Morris, Illinois operating as a Private Vehicle. The healthcare provider is registered in the NPI registry with number 1548412976 assigned on October 2008. The practitioner's primary taxonomy code is 347C00000X. The provider is registered as an organization and their NPI record was last updated 17 years ago. The provider's is doing business as Pinecrest Manor. The authorized official of this NPI record is Ms. Carol A Davis Mba Nha (Ceo/administrator)

NPI
1548412976
Provider Legal Name
BRETHREN HOME
Other Organization Name
PINECREST MANOR
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
414 S WESLEY AVE MOUNT MORRIS, IL 61054
Location Phone
(815) 734-4103
Location Fax
(815) 734-7318
Mailing Address
414 S WESLEY AVE MOUNT MORRIS, IL 61054
Mailing Phone
(815) 734-4103
Mailing Fax
(815) 734-7318
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-16-2008
Last Update Date
01-20-2009
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Private Vehicle

Taxonomy Code
347C00000X
Type
Transportation Services
Taxonomy Description
An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MS. CAROL A DAVIS MBA NHA

Authorized Official Title
CEO/ADMINISTRATOR
Authorized Official Phone
(815) 734-4103

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
14-5024MEDICARE PIN (08)IL 
=========001MEDICAID (05)IL 

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1548412976, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 74. The final step is to find the difference between that total and the next multiple of ten (80 - 74 = 6).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
5
Unchanged
Pos 3
4
Doubled → 8
Pos 4
8
Unchanged
Pos 5
4
Doubled → 8
Pos 6
1
Unchanged
Pos 7
2
Doubled → 4
Pos 8
9
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
6
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 4 → 8 4 → 8 2 → 4 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 5 + 8 + 8 + 8 + 1 + 4 + 9 + 1 + 4 + 24 = 74

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 74 is 80. The difference is the calculated check digit.

80 - 74 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1548412976.

Other Providers at the Same Location


The following 6 providers are registered at the same or a nearby location.

Skilled Nursing Facility
414 S WESLEY AVE
MOUNT MORRIS, IL 61054
Clinic/Center (Physical Therapy)
414 S WESLEY AVE
MOUNT MORRIS, IL 61054
Speech-Language Pathologist
414 S WESLEY AVE
MOUNT MORRIS, IL 61054
Occupational Therapy Assistant
414 S WESLEY AVE
MOUNT MORRIS, IL 61054
Physical Therapy Assistant
414 S WESLEY AVE
MOUNT MORRIS, IL 61054
Skilled Nursing Facility
414 S WESLEY AVE
MOUNT MORRIS, IL 61054

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1548412976, enumerated as an "organization" on October 16, 2008.

The provider is located at 414 S WESLEY AVE MOUNT MORRIS, IL 61054 and the phone number is (815) 734-4103.

Private Vehicle with taxonomy code 347C00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.