Penta Group Inc. in Centralia - Intermediate Care Facility, Intellectual Disabilities
Penta Group Inc. - NPI 1932246071
Penta Group Inc. is a Intermediate Care Facility, Intellectual Disabilities in Centralia, Illinois. Penta Group Inc. practices all healthcare services and medical treatments related to Intermediate Care Facility, Intellectual Disabilities. The NPI Number for Penta Group Inc. is 1932246071. The last update date is 2010-10-18.
Penta Group Inc.'s current location address is 2150 E Mccord St, Centralia, Illinois. You can contact this provider via phone number 6189183770. The mailing address for Penta Group Inc. is 2150 E Mccord St, Centralia, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Penta Group Inc. |
|---|---|
| Address | 2150 E Mccord St, Centralia, Illinois |
| Phone Number | 6189183770 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTRA |
|---|---|
| Authorized Official Name | Miller Georgia |
| Telephone Number | 6189183770 |
NPI Number Detail
| NPI Number | 1932246071 |
|---|---|
| Provider Enumeration Date | 2007-01-30 |
| Last Updated Date | 2010-10-18 |
Provider Mailing Address Detail
| Address | 2150 E Mccord St |
|---|---|
| City | Centralia |
| State | Illinois (IL) |
| Post Code | 6280167300 |
| Phone Number | 6189183770 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Intermediate Care Facility, Intellectual Disabilities |
|---|---|
| Taxonomy | 315P00000X |
| Licence No | 33373 |
|
Definition: An intermediate care facility providing services for individuals with intellectual disabilities. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 14G037 | IL | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Penta Group Inc. by the Centers for Medicare & Medicaid Services?
The Penta Group Inc. has been issued the NPI (National Provider Identifier) 1932246071 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Penta Group Inc.?
The Penta Group Inc. is physically situated at 2150 E Mccord St, in the city of Centralia, state of IL, with the postal code 6280167300.
What is the area of specialization for Penta Group Inc., and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Penta Group Inc. is Intermediate Care Facility, Intellectual Disabilities, and the corresponding taxonomy code that categorizes this area of expertise is 315P00000X.
On what date did Penta Group Inc. receive its 1932246071 assignment from the Centers for Medicare & Medicaid Services?
The Penta Group Inc. was assigned its 1932246071 on 2007-01-30, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Penta Group Inc. most recently updated or refreshed?
The details pertaining to the Penta Group Inc., including its address, specialty, and other relevant information, were last updated or refreshed on 2010-10-18.