LYNWOOD ESTATES
NPI 1467670109
Intermediate Care Facility, Intellectual Disabilities in Salem, IL
About Lynwood Estates NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LYNWOOD ESTATES (NPI 1467670109) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Salem, Illinois and active in the NPI registry since April 2007. The organization holds a CLIA Waiver certificate valid through October 17, 2026 and lists Georgia Miller, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 14D1032094
Lynwood Estates · Salem, ILFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Penta Nascent Corporation's NPI number?
The NPI number for Penta Nascent Corporation is 1467670109. It was assigned to this organization in the NPPES registry on April 20, 2007. The provider is doing business as Lynwood Estates.
Where is Penta Nascent Corporation located?
Penta Nascent Corporation is located at 301 Roddy Rd, Salem, IL 62881. The listed phone number is (618) 548-0353.
What is Penta Nascent Corporation's specialty?
The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.
Does Penta Nascent Corporation hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 14D1032094) is associated with this NPI, valid through October 17, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Penta Nascent Corporation was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Lynwood Estates · NPI 1467670109
Intermediate Care Facility, Intellectual Disabilities organization in Salem, Illinois. Organization record, active in the CMS NPPES registry since April 20, 2007.
## Identity
- **NPI:** 1467670109 (Entity type: Organization)
- **Enumerated:** April 20, 2007
- **Primary specialty:** Intermediate Care Facility, Intellectual Disabilities · taxonomy 315P00000X
- **Legal business name:** Penta Nascent Corporation
- **Organization subpart:** No
- **Authorized official:** Georgia Miller, CEO
## Practice location
- **Address:** 301 RODDY RD, Salem, IL 62881-3836
- **Phone:** (618) 548-0353
## Record status
- **NPPES last updated:** August 22, 2020
- **Other identifiers:** Medicaid 14G242 (IL)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1467670109) · Data from the CMS NPPES public registry.