DEPARTMENT OF HUMAN SERVICES GLENWOOD RESOURCE CENTER


Address: 711 S Vine St, Glenwood, IA 51534-1927
Phone: 7125274811

DEPARTMENT OF HUMAN SERVICES GLENWOOD RESOURCE CENTER (NPI# 1356474019) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1356474019
Entity Type Organization
Organization Name DEPARTMENT OF HUMAN SERVICES GLENWOOD RESOURCE CENTER
Other Organization Name RTSS
Practice Address 711 S Vine St
Glenwood
IA 51534-1927
Practice Telephone 7125274811
Mailing Telephone 7125274811
Enumeration Date 2007-03-13
Last Update Date 2008-08-28
Authorized Official Name DIANA HOOGESTRAAT (SOCIAL WORKER)
Authorized Official Telephone 7125274811
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities Residential Treatment Facilities

Other Provider/Organization Names

Other Name Type Code
RTSS Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
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
1164589180 Department of Human Services Glenwood Resource Center Intermediate Care Facility, Mentally Retarded 711 S Vine St, Glenwood, IA 51534-1927 2007-01-02

Office Location

Street Address 711 S VINE ST
City GLENWOOD
State IA
Zip Code 51534-1927

Providers in the same location

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
1003962994 Dominic Shiu Family Medicine 711 S Vine St, Glenwood, IA 51534-1927 2007-01-25
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 320600000X
Grouping Residential Treatment Facilities
Classification Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities

Taxonomy Definition

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1790933620 Glenwood Resource Center Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 711 S Vine St, Glenwood, IA 51534-1927 2008-09-04
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

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1750696852 Community Neurorehab of Iowa Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 3000 Sw 37th St, Des Moines, IA 50321-1330 2010-08-12
1437325693 Nishna Productions, Inc. Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 304 W Valley Ave, Shenandoah, IA 51601-1218 2008-05-07
1184890477 Nishna Productions, Inc. Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 100 E Oak St, Red Oak, IA 51566-1544 2008-05-06
1881890788 Hope Haven Cottonwood Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 910 Cottonwood Ct Ste 1002, Burlington, IA 52601-1994 2007-06-26
1629293527 Marion County Care Facility Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 1111 Newbold St, Knoxville, IA 50138-8605 2007-04-16
1407070808 Country Care Center, Corp Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 725 Highway 59, Harlan, IA 51537-6709 2007-04-13
1144354614 Hope Haven Area Development Center Corporation Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 2205 Northern Dr, Burlington, IA 52601-2256 2007-03-15
1851425748 Hope Haven Area Development Center Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 2209 Northern Dr, Burlington, IA 52601-2256 2007-03-15
1598893406 Systems Unlimited, Inc. Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 2553 Scott Blvd Se, Iowa City, IA 52240 2007-03-01
1841327673 Crossroads of Western Iowa Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 1 Crossroads Pl, Missouri Valley, IA 51555-6069 2007-02-28
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Competitor

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City GLENWOOD
Zip Code 51534

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Dataset Information

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.

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