PENTA GROUP INC.


Address: 300 Schoonover Drive, Salem, IL 62881
Phone: 6185484561

PENTA GROUP INC. (NPI# 1366610321) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1366610321
Entity Type Organization
Organization Name PENTA GROUP INC.
Other Organization Name BRYAN MANOR
Practice Address 300 Schoonover Drive
Salem
IL 62881
Mailing Address Po Box 1946
Centralia
IL 62801-9127
Practice Telephone 6185484561
Enumeration Date 2008-02-13
Last Update Date 2008-04-20
Authorized Official Name GEORGIA MILLER (ADMINISTRATOR)
Authorized Official Telephone 6185484561
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 343900000X Non-emergency Medical Transport (VAN) =========002 IL Transportation Services

Other Provider Identifier

State Issuer Identifier Type Code
IL 14G0370033373 05

Other Provider/Organization Names

Other Name Type Code
BRYAN MANOR Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1932246071 Penta Group Inc. Intermediate Care Facility, Mentally Retarded 2150 E Mccord St, Centralia, IL 62801-6730 2007-01-30

Office Location

Street Address 300 SCHOONOVER DRIVE
City SALEM
State IL
Zip Code 62881

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1447776026 Heather Krajefska Speech-Language Pathologist Franklin Park School, 1325 N Franklin, Salem, IL 62881 2017-08-16
1629510581 Heidi V. Thompson Nurse Practitioner 1250 W. Whittaker, Salem, IL 62881 2016-11-09
1548664170 Catherine Durbin Nurse Practitioner 518 South Broadway, Salem, IL 62881 2014-10-10
1770718439 Community Resource Center, Inc Community/Behavioral Health 315 Westgate, Salem, IL 62881 2009-05-26
1932377652 Community Resource Center Inc Clinic/Center 315 Westgate Ave, Salem, IL 62881 2008-02-15
1245408053 The Manor At Salem Woods, L.p. Assisted Living Facility 441 S. Hotze Rd., Salem, IL 62881 2008-02-14
1326192808 Alan D Montgomery Optometrist 400 North Broadway, Salem, IL 62881 2007-01-22
1669539979 Knevitt Inc Ambulance 3340 Selmaville Rd, Salem, IL 62881 2007-01-03
1447314737 Gautam Jha Internal Medicine 1325 W. Whittaker, Suite D, Salem, IL 62881 2006-12-20
1235204322 Imaging Center of Salem, Inc Internal Medicine 1325d W Whittaker St, Salem, IL 62881 2006-11-22
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Taxonomy Information

Taxonomy Code 343900000X
Grouping Transportation Services
Classification Non-emergency Medical Transport (VAN)

Taxonomy Definition

A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1972154144 Festus Kromah Jr. Non-emergency Medical Transport (VAN) 193 Jefferson Ave Ste 101, Salem, MA 01970-2959 2019-09-27
1154804003 Alexander Loyola Non-emergency Medical Transport (VAN) 3250 Turner Rd Se, Salem, OR 97302-2033 2018-09-06
1962996553 Erin Ann Wakefield Non-emergency Medical Transport (VAN) 2425 Fisher Rd Ne, Salem, OR 97305 2018-06-18
1538651252 Caring Hands 1 Inc. Non-emergency Medical Transport (VAN) 2022 Lone Fir Ct Se, Salem, OR 97306-1074 2018-05-30
1174998207 Shrieka Gilliard Non-emergency Medical Transport (VAN) 122 Flat Shoals Rd, Salem, SC 29676-2717 2015-12-01
1982851713 Hoosier Transport Service Inc Non-emergency Medical Transport (VAN) 101 Connie Ave, Salem, IN 47167-2305 2008-08-22
1992913123 Catherine Lynn Whitener Non-emergency Medical Transport (VAN) 2328 N Nolan Dr, Salem, IN 47167-8894 2007-05-20
1609890003 Willamette Valley Transport Non-emergency Medical Transport (VAN) 725 Ratcliff Dr Se, Salem, OR 97302-3236 2006-07-27
1952367807 Klg Mobile Intensive Co LLC Non-emergency Medical Transport (VAN) 1516 B South Lincoln Avenue, Salem, OH 44460-4249 2006-04-20
1184687519 Medi-ride, Inc. Non-emergency Medical Transport (VAN) 1414 W Mulberry St, Salem, IN 47167-9434 2006-04-07
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Competitor

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City SALEM
Zip Code 62881

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Dataset Information

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.

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