Penta Nascent Corporation
NPI 1508086810 · Intellectual Disabilities Intermediate Care Facility · Centralia, IL
Penta Nascent Corporation is a Intellectual Disabilities Intermediate Care Facility organization in Centralia, IL (NPI 1508086810).
Provider details
- NPI number
- 1508086810
- Entity type
- Organization
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Georgia Miller, Ceo(618) 548-4561
- License
- 0038646 (IL)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
Mailing address
Other names (DBA / former)
- Doing business as
- Park Place
Registry dates
- Enumerated
- 2007-04-27
- Last updated
- 2020-08-22
Frequently asked questions
- What is Penta Nascent Corporation's NPI number?
- Penta Nascent Corporation's National Provider Identifier (NPI) is 1508086810, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Penta Nascent Corporation?
- Penta Nascent Corporation is classified in the NPPES registry as Intellectual Disabilities Intermediate Care Facility (Nursing & Custodial Care Facilities).
- Where is Penta Nascent Corporation located?
- Penta Nascent Corporation's practice location on file with NPPES is 332 Country Club Rd, Centralia, IL 62801-3742.
- What is Penta Nascent Corporation's phone number?
- The practice phone number listed in the NPPES registry for Penta Nascent Corporation is (618) 533-7922.
- Who is the authorized official for Penta Nascent Corporation?
- The authorized official listed on Penta Nascent Corporation's NPPES record is Georgia Miller, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Penta Nascent Corporation's NPI active?
- Yes — Penta Nascent Corporation's NPI (1508086810) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.