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NPI 1548412976 · Private Vehicle · Mount Morris, IL
Provider details
- NPI number
- 1548412976
- Entity type
- Organization
- Primary specialty
- Private VehicleTransportation Services
- Organization subpart
- No
- Authorized official
- Carol Davis, Ceo/Administrator(815) 734-4103
Specialties & taxonomies
Transportation Services
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
414 S Wesley Ave
Mount Morris, IL 61054-1428
Phone: (815) 734-4103
Fax: (815) 734-7318
Street-level locationGet directions
Mailing address
414 S Wesley Ave
Mount Morris, IL 61054-1428
Other names (DBA / former)
- Doing business as
- Pinecrest Manor
Registry dates
- Enumerated
- 2008-10-16
- Last updated
- 2009-01-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.