Glasswater Creek of Plainfield, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

GLASSWATER CREEK OF PLAINFIELD, LLC

Doing business as

Glasswater Creek of Plainfield

Practice address

10480 Glasswater Rd
Indianapolis, IN 46231-0001

Phone

(317) 839-5808

Fax

(317) 839-5826

NPI assigned

Aug 7, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Greg Echols

Title

Co-President of Management Agent

Phone

(815) 935-1992

Specialties & licenses 1

Addresses

Other names 1

• Glasswater Creek of Plainfield Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1565136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726617600000",
    "number": "1093360984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E COURT ST STE 400",
            "city": "KANKAKEE",
            "state": "IL",
            "postal_code": "609013848",
            "telephone_number": "815-935-1992",
            "fax_number": "815-935-8380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10480 GLASSWATER RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462310001",
            "telephone_number": "317-839-5808",
            "fax_number": "317-839-5826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLASSWATER CREEK OF PLAINFIELD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-07",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A",
        "authorized_official_last_name": "ECHOLS",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "CO-PRESIDENT OF MANAGEMENT AGENT",
        "authorized_official_telephone_number": "815-935-1992"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Glasswater Creek of Plainfield",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Glasswater Creek of Plainfield",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Timothy Allen Glass, MD
• Matthew E Glasser, MS, LMHC
• Rachael Sweig Glasser, L.M.F.T.
• Glasshouse Family Services
• Kayla Glasspoole
• Joshua Glauser
• Glaze Compassionate Care LLC
• Barry M Glazer, M.D.
• Rafaela Glazier, MD
• Lisa M Glazik, CNM

• Assisted Living Facility in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Assisted Living Facility in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.