BRYAN MANOR
NPI 1932246071
Intermediate Care Facility, Intellectual Disabilities in Centralia, IL
About Bryan Manor NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BRYAN MANOR (NPI 1932246071) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Centralia, Illinois and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through October 17, 2026 and lists Georgia Miller, Administrator, 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 14D1032087
Bryan Manor · Centralia, 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 Group Inc.'s NPI number?
The NPI number for Penta Group Inc. is 1932246071. It was assigned to this organization in the NPPES registry on January 30, 2007. The provider is also known as Bryan Manor.
Where is Penta Group Inc. located?
Penta Group Inc. is located at 2150 E Mccord St, Centralia, IL 62801. The listed phone number is (618) 918-3770.
What is Penta Group Inc.'s specialty?
The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.
Does Penta Group Inc. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 14D1032087) 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 Group Inc. was last updated on October 18, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
