THE GLEN RETIREMENT SYSTEM (NPI# 1306963582) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306963582 |
| Entity Type | Organization |
| Organization Name | THE GLEN RETIREMENT SYSTEM |
| Practice Address |
403 E Flournoy Lucas Rd Shreveport LA 71115-3906 |
| Mailing Address |
2535 Bert Kouns Industrial Loop Shreveport LA 71118-3159 |
| Practice Telephone | 3187983500 |
| Practice Fax Number | 3187987988 |
| Mailing Telephone | 3186835111 |
| Mailing Fax Number | 3186835141 |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2009-07-15 |
| Authorized Official Name | MRS. DEBRA D. WILLIAMS (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 3187983500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275614497 | The Glen Retirement System | Skilled Nursing Facility | 1524 Glen Oak Pl, Shreveport, LA 71103-3816 | 2006-10-17 |
| 1821178575 | The Glen Retirement System | Skilled Nursing Facility | 403 E Flournoy Lucas Rd, Shreveport, LA 71115-3906 | 2006-10-17 |
| Street Address |
403 E FLOURNOY LUCAS RD |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71115-3906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255448627 | Alesia Brown | Physical Therapist | 403 E Flournoy Lucas Rd, Shreveport, LA 71115-3906 | 2006-08-23 |
| 1528670122 | Deena Marie Coyle | Physical Therapist | 403 E Flournoy Lucas Rd, Shreveport, LA 71115-3906 | 2020-08-17 |
| 1922620111 | Linda Holloway | Speech-Language Pathologist | 403 E Flournoy Lucas Rd, Shreveport, LA 71115-3906 | 2020-05-11 |
| 1871148346 | Keri Anne Bair | Physical Therapist | 403 E Flournoy Lucas Rd, Shreveport, LA 71115-3906 | 2019-08-01 |
| 1982176046 | Stefanie Breaux | Occupational Therapist | 403 E Flournoy Lucas Rd, Shreveport, LA 71115-3906 | 2018-12-28 |
| 1386119717 | Crystal Dawn Waltower | Occupational Therapist | 403 E Flournoy Lucas Rd, Shreveport, LA 71115-3906 | 2018-10-12 |
| 1366925794 | Haley Green | Speech-Language Pathologist | 403 E Flournoy Lucas Rd, Shreveport, LA 71115-3906 | 2018-09-12 |
| 1730689282 | Rachal Kinsey | Occupational Therapy Assistant | 403 E Flournoy Lucas Rd, Shreveport, LA 71115-3906 | 2018-02-20 |
| 1497255392 | Brittnay Branch | Speech-Language Pathologist | 403 E Flournoy Lucas Rd, Shreveport, LA 71115-3906 | 2018-02-16 |
| 1871945329 | Leila Millican | Physical Therapist | 403 E Flournoy Lucas Rd, Shreveport, LA 71115-3906 | 2016-07-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740829217 | Bno Surgical Consultants, LLC | Physician Assistant | 303 Captain Hm Shreve Blvd, Shreveport, LA 71115 | 2020-01-02 |
| 1902310899 | Islam LLC | General Acute Care Hospital | 9815 Paragon Ln, Shreveport, LA 71115 | 2017-11-30 |
| 1508304569 | Marcel White | Case Manager/Care Coordinator | 9050 Youree Dr, Apt 105, Shreveport, LA 71115 | 2017-02-09 |
| 1114392784 | Marilyn Sparks | Counselor | 9999 Smitherman Dr Apt 502, Shreveport, LA 71115 | 2015-12-08 |
| 1699031237 | Cody Tingle | Internal Medicine | 8001 Youree Dr Ste 400, Shreveport, LA 71115 | 2012-04-09 |
| 1629366885 | Pankaj Sharma | Psychiatry & Neurology | Department of Neurology, Lsuhsc Shreveport, 1501 Kings Highway, Shreveport, LA 71115 | 2011-07-21 |
| 1396914750 | Lisa L Jawahar | Radiologic Technologist | 429 Creek Holw, Shreveport, LOUISIANA 71115 | 2008-02-29 |
| 1720291412 | Larry Kenneth Robinson Jr. | Dentist | 8856 Youree Dr, Suite C, Shreveport, LA 71115 | 2007-05-08 |
| 1952471609 | Shining Star Professional Services Inc | Social Worker | 9050 Youree Drive, #1004, Shreveport, LA 71115 | 2006-11-09 |
| 1922178854 | Akee Lj Jackson | Social Worker | 9050 Youree Dr. #1004, Shreveport, LA 71115 | 2006-11-08 |
| Find all providers in zip 71115 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093325854 | Morning Star Medical | Durable Medical Equipment & Medical Supplies | 456 W 61st St, Shreveport, LA 71106-2511 | 2020-08-06 |
| 1982253340 | Total Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 333 Texas St Ste 1111, Shreveport, LA 71101-5303 | 2019-09-09 |
| 1548611288 | The Kroger Co | Durable Medical Equipment & Medical Supplies | 9484 Ellerbe Rd Ste 100, Shreveport, LA 71106 | 2016-06-23 |
| 1750730057 | Louisiana Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 10460 Norris Ferry Rd, Shreveport, LA 71106 | 2016-06-07 |
| 1396117735 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 4701 Northport Blvd, Shreveport, LA 71107 | 2015-10-26 |
| 1437521879 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 412 Bert Kouns Industrial Loop, Shreveport, LA 71106-8127 | 2015-10-26 |
| 1871905992 | Tap-alert | Durable Medical Equipment & Medical Supplies | 3305 W 70th St Unit D, Shreveport, LA 71108-4609 | 2014-05-23 |
| 1558709279 | Nla Medical LLC | Durable Medical Equipment & Medical Supplies | 8125 Captain Mary Miller Dr, Shreveport, LA 71115-2982 | 2013-06-05 |
| 1225381981 | Med Health Depot, LLC | Durable Medical Equipment & Medical Supplies | 6658 Youree Dr, Suite 180 #298, Shreveport, LA 71105-4648 | 2012-10-18 |
| 1902176142 | Louisiana Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 9510 Ellerbe Rd, Shreveport, LA 71106-7406 | 2012-01-05 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71115 |
Please comment or provide details below to improve the information on THE GLEN RETIREMENT SYSTEM.
| 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.