BRETHREN HOME (NPI# 1083609960) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083609960 |
| Entity Type | Organization |
| Organization Name | BRETHREN HOME |
| Other Organization Name | PINECREST MANOR |
| Practice Address |
414 S Wesley Ave Mount Morris IL 61054-1428 |
| Practice Telephone | 8157344103 |
| Practice Fax Number | 8157347318 |
| Mailing Telephone | 8157344103 |
| Mailing Fax Number | 8157347318 |
| Enumeration Date | 2005-09-15 |
| Last Update Date | 2013-03-12 |
| Authorized Official Name | MS. FEROL J. LABASH (CEO) |
| Authorized Official Telephone | 8157344103 |
| Authorized Official Credential | NHA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 1676853 | IL | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Pinecrest Manor | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154663946 | Brethren Home | Clinic/Center | 414 S Wesley Ave, Mount Morris, IL 61054-1428 | 2013-03-20 |
| 1548412976 | Brethren Home | Private Vehicle | 414 S Wesley Ave, Mount Morris, IL 61054-1428 | 2008-10-16 |
| Street Address |
414 S WESLEY AVE |
| City | MOUNT MORRIS |
| State | IL |
| Zip Code | 61054-1428 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447898671 | Kristin Charleston | Physical Therapy Assistant | 414 S Wesley Ave, Mount Morris, IL 61054-1428 | 2019-12-18 |
| 1578010377 | Kristen Gilbert | Occupational Therapy Assistant | 414 S Wesley Ave, Mount Morris, IL 61054-1428 | 2016-09-09 |
| 1952705188 | Whitney Ann Cervantez | Speech-Language Pathologist | 414 S Wesley Ave, Mount Morris, IL 61054-1428 | 2014-10-17 |
| 1154663946 | Brethren Home | Clinic/Center | 414 S Wesley Ave, Mount Morris, IL 61054-1428 | 2013-03-20 |
| 1548412976 | Brethren Home | Private Vehicle | 414 S Wesley Ave, Mount Morris, IL 61054-1428 | 2008-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366671463 | John H Plescia | Family Medicine | 405 Charles Ave, Ksb Medical Group, Mt. Morris, IL 61054 | 2009-07-09 |
| 1043211485 | Bruce E Denton | Chiropractor | 4167 E. Hitt Street, Mt. Morris, IL 61054 | 2005-08-09 |
| 1215203476 | Biome Inc. | Assisted Living Facility | 3160 Sunset Hl, Mount Morris, IL 61054-1000 | 2012-03-31 |
| 1215068325 | Catherine M Wells | Physical Therapy Assistant | 102 N Seminary Ave, Mount Morris, IL 61054-1116 | 2007-03-08 |
| 1285878033 | Aspiring Health, Ltd. | Chiropractor | 315 E Hitt St, Unit 2, Mount Morris, IL 61054-1209 | 2009-04-23 |
| 1730349366 | Mary Saritha Raj | Occupational Therapist | 102 S Mulberry Ave, Mount Morris, IL 61054-1365 | 2008-06-17 |
| 1093850489 | Mt Morris Fire Protection District | Ambulance | 15 E Center St, Mt Morris, IL 61054-1460 | 2007-02-21 |
| 1215057898 | Mt Morris Fire Protection District | Ambulance | 15 E Center St, Mount Morris, IL 61054-1460 | 2007-03-29 |
| 1457619009 | Brittany Ann Nelson | Social Worker | 408 Bruce Ln, Mount Morris, IL 61054-1630 | 2012-05-01 |
| 1538288022 | Kenneth William Kaufman | Dentist | 105 E Lincoln Street, Mt Morris, IL 61054-1640 | 2007-03-28 |
| Find all providers in zip 61054 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376761478 | Livingston County | Skilled Nursing Facility | 11 Murray Hill Dr, Mount Morris, NY 14510-1153 | 2007-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902413537 | Citadel of Glenview LLC | Skilled Nursing Facility | 1700 E Lake Ave, Glenview, IL 60025-2003 | 2020-09-28 |
| 1598379075 | Patient Builders Marketing | Skilled Nursing Facility | 800 W Army Trail Rd, Carol Stream, IL 60188-9040 | 2020-09-02 |
| 1730790817 | Ih Fox Valley Opco, LLC | Skilled Nursing Facility | 4020 E New York St, Aurora, IL 60504-4416 | 2020-08-12 |
| 1902428147 | Aperion Care Glenwood LLC | Skilled Nursing Facility | 19330 South College Grove, Glenwood, IL 60425 | 2020-05-11 |
| 1487273330 | Residential Alternatives of Illinois, Inc | Skilled Nursing Facility | 2203 Flagg Rd, Rochelle, IL 61068 | 2020-04-10 |
| 1932728003 | Tco Jv, LLC | Skilled Nursing Facility | 550 Ridgeview Drive, Mchenry, IL 60050 | 2020-04-09 |
| 1841825510 | Ih Lisle Opco, LLC | Skilled Nursing Facility | 2850 Ogden Avenue, Lisle, IL 60532 | 2020-03-03 |
| 1114550381 | Rosiclare Hco, LLC | Skilled Nursing Facility | 55 Ferrell Rd, Rosiclare, IL 62982-1006 | 2020-02-17 |
| 1225672033 | All Ways Caring Services, Inc. | Skilled Nursing Facility | 301 N Neil St Ste 301, Champaign, IL 61820-3167 | 2019-11-05 |
| 1578036695 | Heartland Nursing & Rehabilitation LLC | Skilled Nursing Facility | 410 Nw 3rd St, Casey, IL 62420-1014 | 2019-01-11 |
| Find all providers with the same taxonomy | ||||
| City | MOUNT MORRIS |
| Zip Code | 61054 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.