OrganizationActive
Penta Group Inc.
NPI 1366610321 · Non-emergency Medical Transport (VAN) · Salem, IL
Provider details
- NPI number
- 1366610321
- Entity type
- Organization
- Primary specialty
- Non-emergency Medical Transport (VAN)Transportation Services
- Organization subpart
- No
- Authorized official
- Georgia Miller, Administrator(618) 548-4561
- License
- 002 (IL)
Specialties & taxonomies
Transportation Services
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
300 Schoonover Drive
Salem, IL 62881
Phone: (618) 548-4561
Street-level locationGet directions
Mailing address
Po Box 1946
Centralia, IL 62801-9127
Other names (DBA / former)
- Doing business as
- Bryan Manor
Registry dates
- Enumerated
- 2008-02-13
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.