GLENWOOD HEALTH AND REHAB (NPI# 1457742058) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457742058 |
| Entity Type | Organization |
| Organization Name | GLENWOOD HEALTH AND REHAB |
| Practice Address |
615 Mountain View Rd Glenwood AR 71943-9061 |
| Practice Telephone | 8703563953 |
| Practice Fax Number | 8703564314 |
| Mailing Telephone | 8703563953 |
| Enumeration Date | 2015-02-18 |
| Last Update Date | 2015-02-18 |
| Authorized Official Name | PAULA A LEE (CEO) |
| Authorized Official Telephone | 8703563953 |
| Authorized Official Credential | NHA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | 964 | AR | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 045403 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | GLENWOOD HEALTH AND REHABILITATION CENTER | 4115 Glenwood Rd, Decatur, GA 30032-4727 |
| Street Address |
615 MOUNTAIN VIEW RD |
| City | GLENWOOD |
| State | AR |
| Zip Code | 71943-9061 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215983184 | Glenwood Nursing Home | Skilled Nursing Facility | 615 Mountain View Rd, Glenwood, AR 71943-9061 | 2006-05-25 |
| 1629551387 | Victoria Lea Hessee | Physical Therapy Assistant | 615 Mountain View Rd, Glenwood, AR 71943-9061 | 2018-09-10 |
| 1508224593 | Justin Neil Carter | Occupational Therapy Assistant | 615 Mountain View Rd, Glenwood, AR 71943-9061 | 2016-02-04 |
| 1366809956 | Glenwood Holdings LLC | Skilled Nursing Facility | 615 Mountain View Rd, Glenwood, AR 71943-9061 | 2016-01-27 |
| 1558676353 | Glenwood Health and Rehabilitation LLC | Skilled Nursing Facility | 615 Mountain View Rd, Glenwood, AR 71943-9061 | 2010-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467969824 | Tiffany Elizabeth White | Counselor | 6 Amanda Lane, Glenwood, AR 71943 | 2018-01-08 |
| 1235586801 | Jessica Dobyns | Student in an Organized Health Care Education/Training Program | 167 S Spur 8, Glenwood, AR 71943 | 2016-05-24 |
| 1376903906 | Silver Linings, LLC | Skilled Nursing Facility | 615 Mt View Rd, Glenwood, AR 71943 | 2016-02-24 |
| 1356755771 | Ttj, Inc | Physical Therapist | 204 East Broadway, Glenwood, AR 71943 | 2014-06-13 |
| 1902946668 | Phils Pharmacy Inc | Pharmacy | 253 Hwy 70 Wast, Glenwood, AR 71943 | 2007-02-08 |
| 1073676359 | Carl S Plyler | Dentist | 119 Elm St, Glenwood, AR 71943 | 2006-12-18 |
| 1578571220 | T.k. Hutson Enterprises, LLC | Chiropractor | 400 East Broadway, Suite B, Glenwood, AR 71943 | 2006-08-04 |
| 1306831839 | Emergency Medical Transport | Ambulance | 115 N 3rd St, Glenwood, AR 71943 | 2005-09-12 |
| 1710040092 | Roderick J Parker | Dentist | 119 Elm St, Glenwood, AR 71943 | 2006-12-18 |
| 1760892665 | Mistie Hill | Counselor | 1923 Davis Drive, Glenwood, AR 71943-0907 | 2014-04-30 |
| Find all providers in zip 71943 | ||||
| Taxonomy Code | 313M00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Nursing Facility/Intermediate Care Facility |
| An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
| Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447659669 | Parkway Health Center, Inc. | Nursing Facility/Intermediate Care Facility | 14324 Chenal Pkwy, Little Rock, AR 72211-5805 | 2014-08-14 |
| 1093138059 | Little River Nursing and Rehab | Nursing Facility/Intermediate Care Facility | 162 Hwy 32-2a, Ashdown, AR 71822-8689 | 2014-01-28 |
| 1295071322 | Courtney Bickerstaff Apn,pllc | Nursing Facility/Intermediate Care Facility | 1309 Ashlea Place Dr, Bryant, AR 72022-9159 | 2012-12-18 |
| 1992014930 | Jane Ellen Phillips Apn Pllc | Nursing Facility/Intermediate Care Facility | 511 Farr Shores Dr, Hot Springs, AR 71913-9622 | 2010-09-24 |
| 1639480049 | Smith Drug Company | Nursing Facility/Intermediate Care Facility | 1104 Jones Rd, Paragould, AR 72450-7579 | 2010-06-30 |
| 1760627640 | Cavhs | Nursing Facility/Intermediate Care Facility | 2220 Ft Roots Drive, North Little Rock, AR 72114-1706 | 2008-12-08 |
| 1023283884 | A & C Fairways and Greenns Inc. | Nursing Facility/Intermediate Care Facility | 106 No. Third St., Marmaduke, AR 72443 | 2008-04-23 |
| 1568680742 | David E. Puryear Center | Nursing Facility/Intermediate Care Facility | 2806 Fox Meadow Ln, Jonesboro, AR 72404-9346 | 2007-04-23 |
| 1275673642 | Countryside Manor LLC | Nursing Facility/Intermediate Care Facility | 300 S Thompson Rd, Lamar, AR 72846-9423 | 2007-02-07 |
| 1760520936 | Greenhurst, Inc. | Nursing Facility/Intermediate Care Facility | 226 Skyler Dr, Pob 458, Charleston, AR 72933-9337 | 2007-02-01 |
| Find all providers with the same taxonomy | ||||
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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.