DEPARTMENT OF HUMAN SERVICES GLENWOOD RESOURCE CENTER (NPI# 1164589180) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164589180 |
| Entity Type | Organization |
| Organization Name | DEPARTMENT OF HUMAN SERVICES GLENWOOD RESOURCE CENTER |
| Practice Address |
711 S Vine St Glenwood IA 51534-1927 |
| Practice Telephone | 7125274811 |
| Practice Fax Number | 7125251389 |
| Mailing Telephone | 7125274811 |
| Mailing Fax Number | 7125251389 |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2008-09-02 |
| Authorized Official Name | MR. THOMAS HOOGESTRAAT (SUPERINTENDENT) |
| Authorized Official Telephone | 7125274811 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | I-152 | IA | Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356474019 | Department of Human Services Glenwood Resource Center | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 711 S Vine St, Glenwood, IA 51534-1927 | 2007-03-13 |
| 1972650158 | Department of Human Services Glenwood Resource Center | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 711 S Vine St, Glenwood, IA 51534-1927 | 2007-01-03 |
| Street Address |
711 S VINE ST |
| City | GLENWOOD |
| State | IA |
| Zip Code | 51534-1927 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477513356 | Thomas Arthur King | Dentist | 711 S Vine St, Glenwood, IA 51534-1927 | 2006-03-24 |
| 1285191726 | Inspired Respiratory Services Inc | Respiratory Therapist, Registered | 711 S Vine St, Glenwood, IA 51534-1927 | 2019-02-20 |
| 1326504978 | Alyssa Johnson | Nurse Practitioner | 711 S Vine St, Glenwood, IA 51534-1927 | 2019-02-19 |
| 1225273527 | Katiejo Charmaine Lawton | Occupational Therapist | 711 S Vine St, Glenwood, IA 51534-1927 | 2008-12-16 |
| 1043461809 | Anne L White | Audiologist | 711 S Vine St, Glenwood, IA 51534-1927 | 2008-10-09 |
| 1790933620 | Glenwood Resource Center | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 711 S Vine St, Glenwood, IA 51534-1927 | 2008-09-04 |
| 1467618868 | Jason A Krist | Nurse Practitioner | 711 S Vine St, Glenwood Resource Center, State of Iowa, Glenwood, IA 51534-1927 | 2008-08-05 |
| 1083890503 | Edward Lawrence Kelly Jr. | Licensed Practical Nurse | 711 S Vine St, Glenwood, IA 51534-1927 | 2008-01-15 |
| 1538292826 | Kathryn Laughlin Harbor | Pharmacist | 711 S Vine St, Glenwood, IA 51534-1927 | 2007-03-14 |
| 1356474019 | Department of Human Services Glenwood Resource Center | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 711 S Vine St, Glenwood, IA 51534-1927 | 2007-03-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932421286 | Michael J Hanlon | Pharmacist | 2803 East Kanesville Boulevard, Council Bluffs, IA 51534 | 2010-02-26 |
| 1417143199 | Nancy Goodell Schmailzl | Pharmacist | 1206 Locust, Glenwood, IA 51534 | 2007-09-17 |
| 1639372055 | Margramon P C | Pharmacy | 1206 S Locust St, Glenwood, IA 51534 | 2007-06-06 |
| 1083824791 | Denise Jaye Johnson | Physical Therapist | 212 Independence Ave, Suite 100, Glenwood, IA 51534 | 2007-05-23 |
| 1841355575 | On With Life Extended Service, Ltd. | Skilled Nursing Facility | 714 Lacey St, Glenwood, IA 51534 | 2006-12-22 |
| 1033270913 | Robert F Lothrop Dds PC | Dentist | 112 S Vine, Glenwood, IA 51534 | 2006-12-13 |
| 1689749806 | Tracy A Stromgren | Chiropractor | 24 North Walnut, Glenwood, IA 51534 | 2006-11-22 |
| 1417022096 | Glenwood Family Dentistry PC | Dentist | 514 First St, Glenwood, IA 51534 | 2006-11-21 |
| 1023105855 | Physicians Clinic, Inc. | Durable Medical Equipment & Medical Supplies | 320 Ebaugh Street, Glenwood, IA 51534 | 2006-10-05 |
| 1801018452 | Stromgren Chiropractic Pa | Chiropractor | 24 North Walnut, Glenwood, IA 51534 | 2007-05-03 |
| Find all providers in zip 51534 | ||||
| Taxonomy Code | 315P00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mentally Retarded |
| (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. |
| Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558301606 | Five Star Quality Care-ia, Inc. | Intermediate Care Facility, Mentally Retarded | 114 E Green St, Glenwood, IA 51534-1902 | 2006-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912528266 | One Vision | Intermediate Care Facility, Mentally Retarded | 755 Pebblestone Lane, Garner, IA 50428 | 2020-04-28 |
| 1912544123 | Handicap Village | Intermediate Care Facility, Mentally Retarded | 1140 Limestone St, Mason City, IA 50401 | 2019-12-06 |
| 1003460312 | Rem Iowa, Inc. | Intermediate Care Facility, Mentally Retarded | 143 16th Ave Sw, Cedar Rapids, IA 52404 | 2019-07-25 |
| 1811541121 | Rem Iowa, Inc. | Intermediate Care Facility, Mentally Retarded | 2620 33rd Ave Sw, Cedar Rapids, IA 52404 | 2019-07-25 |
| 1952767162 | G & G Living Centers, Inc. | Intermediate Care Facility, Mentally Retarded | 602 Kosciusko St., Guttenberg, IA 52052-0967 | 2016-01-05 |
| 1487920351 | Mosaic | Intermediate Care Facility, Mentally Retarded | 835 S 7th St, Forest City, IA 50436-2127 | 2012-03-26 |
| 1306112271 | Mosaic | Intermediate Care Facility, Mentally Retarded | 102 Kellys Ct, Forest City, IA 50436-2245 | 2012-03-26 |
| 1710253687 | Mosaic | Intermediate Care Facility, Mentally Retarded | 105 Kellys Ct, Forest City, IA 50436-2245 | 2012-03-26 |
| 1831465715 | Mosaic | Intermediate Care Facility, Mentally Retarded | 315 Country Club Dr, Belmond, IA 50421-1740 | 2012-03-26 |
| 1851666820 | Mosaic | Intermediate Care Facility, Mentally Retarded | 718 S 13th St, Nevada, IA 50201-2435 | 2012-03-09 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.