Brethren Home
Organization Active NPI Private Vehicle · Mount Morris, IL
NPI 1548412976 · NPPES record last updated Jan 20, 2009
Key facts
- NPI
- 1548412976
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Private Vehicle 347C00000X
- Legal business name
- BRETHREN HOME
- Practice address
- 414 S Wesley Ave
Mount Morris, IL 61054-1428 - Phone
- (815) 734-4103
- Fax
- (815) 734-7318
- NPI assigned
- Oct 16, 2008
- Organization subpart
- No
Authorized official
- Name
- Ms. Carol A Davis, MBA NHA
- Title
- Ceo/Administrator
- Phone
- (815) 734-4103
Corporate family (same tax ID) 1
National Provider Directory
- Tax ID family
- Brethren Home
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Private Vehicle | 347C00000X | Yes |
Addresses
Primary practice location
414 S Wesley Ave
Mount Morris, IL 61054-1428
Mailing address
414 S Wesley Ave
Mount Morris, IL 61054-1428
Phone (815) 734-4103
Other names
- PINECREST MANOR
Other providers in Mount Morris, IL
- Aspiring Health, LTD.
- Biome Inc.
- Board of Trustees of the University of Illinois
- Brethren Home
- Brethren Home
- Whitney Ann Cervantez
- Isaac Heonsang Cha
- Kristin Charleston
- Bruce E Denton
- Noel Dusing
All providers in Mount Morris, IL · Private Vehicle in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 20, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.