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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 343900000X | Non-emergency Medical Transport (VAN) | =========002 | IL | Transportation Services |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | 14G0370033373 | 05 |
Other Name | Type Code |
---|---|
BRYAN MANOR | Doing Business As Name - Organization |
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 |
Street Address |
300 SCHOONOVER DRIVE |
City | SALEM |
State | IL |
Zip Code | 62881 |
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 |
Find all providers in zip 62881 |
Taxonomy Code | 343900000X |
Grouping | Transportation Services |
Classification | Non-emergency Medical Transport (VAN) |
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. |
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 |
Find all providers in SALEM |
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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.