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:
Map and Directions
Authorized official contact:
Name: Labash, Ferol J NHA
Phone: (815) 734-4103

Health care specialties

SpecialtyCodeLicense #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 13 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154663946 NPPES
Illinois Other 2038043 LICENSE NUMBER

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