GLENWOOD OPERATING COMPANY LLC (NPI# 1376093666) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376093666 |
| Entity Type | Organization |
| Organization Name | GLENWOOD OPERATING COMPANY LLC |
| Other Organization Name | GLENWOOD HEALTH AND REHABILITATION CENTER |
| Practice Address |
4115 Glenwood Rd Decatur GA 30032-4727 |
| Mailing Address |
5300 W Sam Houston Pkwy N Suite 100 Houston TX 77041-5161 |
| Practice Telephone | 4042846414 |
| Mailing Telephone | 8324676000 |
| Enumeration Date | 2016-10-11 |
| Last Update Date | 2017-07-21 |
| Authorized Official Name | KELLE C SANTORO (SR DIRECTOR AR) |
| Authorized Official Telephone | 8324675728 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | NORIDIAN | 11-5025 | 01 |
| Other Name | Type Code |
|---|---|
| Glenwood Health and Rehabilitation Center | Doing Business As Name - Organization |
| Street Address |
4115 GLENWOOD RD |
| City | DECATUR |
| State | GA |
| Zip Code | 30032-4727 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508818766 | Ggnsc Decatur II LLC | Skilled Nursing Facility | 4115 Glenwood Rd, Decatur, GA 30032-4727 | 2006-05-16 |
| 1942859756 | Bernadette Camille | Occupational Therapy Assistant | 4115 Glenwood Rd, Decatur, GA 30032-4727 | 2019-09-05 |
| 1285283135 | Kaprice Estelle | Occupational Therapy Assistant | 4115 Glenwood Rd, Decatur, GA 30032-4727 | 2019-09-04 |
| 1427607373 | Jemimah Sanda | Occupational Therapist | 4115 Glenwood Rd, Decatur, GA 30032-4727 | 2019-09-04 |
| 1447809306 | Justin Windom | Occupational Therapy Assistant | 4115 Glenwood Rd, Decatur, GA 30032-4727 | 2019-09-04 |
| 1619526548 | Cicely Tynette Anderson | Occupational Therapy Assistant | 4115 Glenwood Rd, Decatur, GA 30032-4727 | 2019-09-04 |
| 1063061935 | Kar Ou | Physical Therapist | 4115 Glenwood Rd, Decatur, GA 30032-4727 | 2019-09-04 |
| 1497303473 | Morris Johnson Jr. | Physical Therapist | 4115 Glenwood Rd, Decatur, GA 30032-4727 | 2019-09-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861028078 | Anchor Home Healthcare Services, Inc. | Community/Behavioral Health | 3717 Elkridge Drive, Decatur, GA 30032 | 2020-03-19 |
| 1578959201 | Trusted Nurses | Nursing Care | 1959 Barberrie Ln, Decatur, GA 30032 | 2015-04-09 |
| 1225436751 | God's Helper's Private Home Care, LLC | In Home Supportive Care | 1916 Willa Dr, Decatur, GA 30032 | 2014-12-16 |
| 1366878712 | Teresa A Johnson | Counselor | 1585 Cobbs Creek Lane, Decatur, GA 30032 | 2013-09-17 |
| 1629213590 | Curlen L Baird-scott | Registered Nurse | Child and Adolescent Stabilization Unit, 2591 Candler Road, Decatur, GA 30032 | 2008-12-08 |
| 1659527919 | Louis Aaron Calderon | Psychiatry & Neurology | 3408 Covington Highway, Georgia Department of Juvenile Justice, Decatur, GA 30032 | 2008-08-18 |
| 1932387982 | Turning Point Behavioral Health and Wellness Center | Community/Behavioral Health | 4292 Memorial Drive Suite C, Decatur, GA 30032 | 2008-02-01 |
| 1528190865 | Jennifer Weeks Kaufman | Speech-Language Pathologist | 1441 Clifton Road Ne, Atlanta, GA 30032 | 2007-03-12 |
| 1093847147 | Mary Sprague | Speech-Language Pathologist | 1441 Clifton Road North East, Atlanta, GA 30032 | 2007-03-12 |
| 1356479976 | Julie Witten | Speech-Language Pathologist | 1441 Clifton Road, N.e., Atlanta, GA 30032 | 2007-03-02 |
| Find all providers in zip 30032 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396308508 | Decatur Operating Group LLC | Skilled Nursing Facility | 332 River Rd, Decatur, TN 37322-7800 | 2019-04-15 |
| 1083132641 | Decatur Healthcare, LLC | Skilled Nursing Facility | 322 River Road, Decatur, TN 38322 | 2017-09-05 |
| 1649722943 | City of Ennis | Skilled Nursing Facility | 701 W Bennett Road, Decatur, TX 76234-3817 | 2016-11-03 |
| 1134458920 | Pruitthealth - Decatur, LLC | Skilled Nursing Facility | 3200 Panthersville Road, Decatur, GA 30034-3831 | 2009-12-08 |
| 1346419397 | Senior Care Resources, Inc. | Skilled Nursing Facility | 701 Bennett Rd, Decatur, TX 76234-3817 | 2008-02-25 |
| 1356476154 | Adams County Memorial Hospital | Skilled Nursing Facility | 1300 Mercer Ave, Decatur, IN 46733-2407 | 2007-02-22 |
| 1417095266 | Lincoln Manor, Inc. | Skilled Nursing Facility | 2650 N Monroe St, Decatur, IL 62526-3251 | 2007-02-02 |
| 1083630487 | Fair Havens Christian Home, Inc. | Skilled Nursing Facility | 1790 S Fairview Ave, Decatur, IL 62521-4010 | 2006-07-15 |
| 1508818766 | Ggnsc Decatur II LLC | Skilled Nursing Facility | 4115 Glenwood Rd, Decatur, GA 30032-4727 | 2006-05-16 |
| 1669424057 | Ggnsc Decatur IIi LLC | Skilled Nursing Facility | 2787 N Decatur Rd, Decatur, GA 30033-5919 | 2006-05-16 |
| Find all providers in DECATUR | ||||
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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.