Pinecrest Manor
LBN: Brethren Home
Pinecrest Manor is an health care organization with primary practice located at 414 S Wesley Ave , Mount Morris IL 61054-1428. The organization recently has only one registered license in Ambulatory Health Care Facilities / Physical Therapy, which is considered as the primary health care specialty.
Brethren Home can be contacted via phone (815) 734-4103, or through Labash, Ferol J via phone (815) 734-4103.
Contact Information
Primary practice address
414 S Wesley Ave
Mount Morris IL 61054-1428
Phone: (815) 734-4103
Fax: (815) 734-7318
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Ambulatory Health Care Facilities / Physical Therapy | 261QP2000X |
Profile Details
NPI number | 1154663946 |
---|---|
LBN Legal business name | Brethren Home |
DBA Doing business as | Pinecrest Manor |
Authorized official | Labash, Ferol J NHA |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Mar 20th, 2013 |
Last updated | Apr 5th, 2013 - about 11 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1154663946 | NPPES |
Illinois | Other | 2038043 | LICENSE NUMBER |
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