LYNWOOD ESTATES
NPI 1467670109
Intermediate Care Facility, Intellectual Disabilities in Salem, IL

Q: 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.

Q: What is Penta Nascent Corporation's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

Active since April 20, 2007

301 RODDY RD, SALEM, IL 62881(618) 548-0353 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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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 lists Georgia Miller, Ceo, as its authorized official.

NPPES Registry Identity

NPI1467670109

Entity TypeOrganization

Primary Taxonomy315P00000X

Legal Business NamePENTA NASCENT CORPORATION

Location Address301 RODDY RDSalem, IL 62881-3836

Mailing AddressPo Box 1690Centralia, IL 62801-9124

Phone(618) 548-0353

Organization SubpartNo

Authorized OfficialGeorgia MillerCeo · (618) 548-4561

Enumeration DateApril 20, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1467670109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities

Taxonomy Code315P00000X

License✔ Licensed in IL · 0036004

Definition

An intermediate care facility providing services for individuals with intellectual disabilities.

301 RODDY RD, Salem, IL 62881

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Other Names 1

Doing Business AsLynwood Estates

Other Identifiers 1

Medicaid14G242IL

Frequently 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.

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 6 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.