Colonial Apts.

LBN: Penta Nascent Corporation
Colonial Apts. is an health care organization with primary practice located at 920 W 4Th St , Centralia IL 62801-5718. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded, which is considered as the primary health care specialty. Penta Nascent Corporation can be contacted via phone (618) 533-1199, or through Miller, Georgia via phone (618) 548-4561.

Contact Information

Primary practice address
920 W 4Th St Centralia IL 62801-5718
Phone: (618) 533-1199
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Miller, Georgia
Phone: (618) 548-4561

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X 0038125 Illinois

Profile Details

NPI number 1881814192
LBN Legal business name Penta Nascent Corporation
DBA Doing business as Colonial Apts.
Authorized official Miller, Georgia
Entity Organization
Organization subpart 1 No
Enumeration date Apr 27th, 2007
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881814192 NPPES
Illinois MEDICAID 14G093

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