NPIMap

Organization Active NPI

Unlimited Development Inc.

Doing business as UDI 9 Pittsfield Manor

  • Skilled Nursing Facility
  • Pittsfield, IL
National Provider Identifier
1992792147
Registry record updated Jul 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
47944 Issued in IL
Legal business name
UNLIMITED DEVELOPMENT INC.
Doing business as
UDI 9 Pittsfield Manor
Practice address
610 Lowry Street
Pittsfield, IL 62363-1700
Phone
(217) 285-5200
Fax
(217) 285-5212
NPI assigned
Oct 3, 2005
Last updated
Jul 30, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Ronald J Wilson
Title
Cfo
Phone
(309) 343-1550

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 0047944 IL
Skilled Nursing Facility 314000000X 47944 IL Primary

Addresses

Primary practice location

610 Lowry Street
Pittsfield, IL 62363-1700

Mailing address

610 Lowry Street
Pittsfield, IL 62363-1700
Phone (217) 285-5200

Other names 1

  • UDI 9 Pittsfield Manor Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090824000360 IL Part A Provider - Skilled Nursing Facility 6901995513 Practice locations: Pittsfield, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1992792147. Details of each certification follow.

Skilled nursing facility certification: CCN 145837

Legal name
UNLIMITED DEVELOPMENT, INC
Doing business as
PITTSFIELD MANOR
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Apr 27, 1995
Last certification
Dec 9, 2024
Beds
89
Ownership / control type
Nonprofit Corporation
Organization structure
CorporationNon-profit
Incorporated
May 17, 1996 in IL
Enrollment address
610 Lowry St
Pittsfield, IL 62363-1768
Nursing home name
PITTSFIELD MANOR
Affiliated entity
UNLIMITED DEVELOPMENT, INC.

Other NPIs with the same Medicare PAC ID 9

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Nursing home

Medicare Care Compare
Listed as
Pittsfield ManorCCN 145837 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
1 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Apr 27, 1995
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
8966.2 residents per day on average
Chain
Unlimited Development, Inc.10 facilities in the chain
Abuse citation
Cited for abuse (Care Compare abuse icon)
Penalties (3 years)
6Fines totaling $212,564

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D0665216Pittsfield Manor610 Lowry Street, Pittsfield, IL 62363Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
Unlimited Development Inc10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 7

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Audrey J Finke Individual Corporate OfficerSecretary of Board of Directors Sep 5, 2018
Corporate DirectorDirector Sep 5, 2018
Jerry D Gilmore Individual Corporate Director Apr 26, 2006
Udi #9, LLC Organization, Pittsfield, IL Operational/Managerial Control Apr 26, 2006
Ronald J Wilson Individual Corporate OfficerChief Financial Officer Sep 5, 2018
David S Haney Individual Corporate Director Apr 26, 2006
Robert H Wagner Individual Corporate OfficerPresident of Board of Directors Sep 5, 2018
Corporate DirectorDirector Apr 26, 2006
Billye Jo Titus Individual W-2 Managing EmployeeAdministrator Sep 5, 2018

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 6

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Manor Court of MaryvilleMaryville, IL, CCN 145728 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (100%)
Operational/Managerial Control		 Jan 7, 2014
Jan 16, 2014
Seminary ManorGalesburg, IL, CCN 145598 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jun 1, 2009
Parkway ManorMarion, IL, CCN 145841 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jun 1, 2009
Pekin ManorPekin, IL, CCN 145597 Skilled nursing facility 5% Or Greater Direct Ownership Interest Jun 1, 2009
Centralia ManorCentralia, IL, CCN 145666 Skilled nursing facility 5% Or Greater Direct Ownership Interest Jun 1, 2009
River Hills VillageKeokuk, IA, CCN 165396 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jun 1, 2010

Owned or controlled facilities with NPI records 6

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1128297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248912000000",
    "number": "1992792147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 LOWRY STREET",
            "city": "PITTSFIELD",
            "state": "IL",
            "postal_code": "623631700",
            "telephone_number": "217-285-5200",
            "fax_number": "217-285-5212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 LOWRY STREET",
            "city": "PITTSFIELD",
            "state": "IL",
            "postal_code": "623631700",
            "telephone_number": "217-285-5200",
            "fax_number": "217-285-5212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNLIMITED DEVELOPMENT INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-03",
        "last_updated": "2009-07-30",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "309-343-1550",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "0047944",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "47944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UDI 9 Pittsfield Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pittsfield, IL

Sources for this page

Verify at the official NPI Registry.