Brethren Home

Private Vehicle · Mount Morris, IL

Organization Active NPI

NPI number 1548412976

Practice location

414 S Wesley Ave
Mount Morris, IL 61054-1428
Phone
(815) 734-4103
Fax
(815) 734-7318

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NPI record

NPI
1548412976
Entity type
Organization (Type 2)
Enumeration date
October 16, 2008
Last updated
January 20, 2009
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Private Vehicle Primary 347C00000X — —

Authorized official

Name
Ms. Carol A Davis, MBA NHA
Title
CEO/Administrator
Phone
(815) 734-4103

Other names

  • Pinecrest Manor

About Brethren Home

Brethren Home is a healthcare organization registered in the NPI registry with the primary taxonomy Private Vehicle (code 347C00000X). The practice location is 414 S Wesley Ave, Mount Morris, IL 61054-1428. The NPI number 1548412976 was assigned on October 16, 2008 and the record was last updated on January 20, 2009.

The authorized official for this organization is Ms. Carol A Davis, MBA NHA, CEO/Administrator.

Frequently asked questions

What is the NPI number of Brethren Home?

The NPI number is 1548412976.

What is the phone number of Brethren Home?

The phone number listed for the practice location is (815) 734-4103.

Where is Brethren Home located?

414 S Wesley Ave, Mount Morris, IL 61054-1428.

What is the taxonomy code for Brethren Home?

The primary taxonomy code is 347C00000X – Private Vehicle.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.