Organization Active NPI

Glennwood Healthcare Inc

  • Skilled Nursing Facility
  • Glenpool, OK
National Provider Identifier
1093943433
Registry record updated Nov 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
GLENNWOOD HEALTHCARE INC
Practice address
1700 E 141St St
Glenpool, OK 74033-3807
Phone
(918) 291-4230
Fax
(918) 291-2429
NPI assigned
Jun 24, 2009
Last updated
Nov 30, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2009

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

Authorized official

Name
Mr. Brett Lessley
Title
President
Phone
(918) 341-4857

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X OK Primary

Addresses

Primary practice location

1700 E 141St St
Glenpool, OK 74033-3807

Mailing address

920 E 16TH St
Claremore, OK 74017-3165
Phone (918) 341-4857

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1245801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259539200000",
    "number": "1093943433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 E 16TH ST",
            "city": "CLAREMORE",
            "state": "OK",
            "postal_code": "740173165",
            "telephone_number": "918-341-4857",
            "fax_number": "918-341-9199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 E 141ST ST",
            "city": "GLENPOOL",
            "state": "OK",
            "postal_code": "740333807",
            "telephone_number": "918-291-4230",
            "fax_number": "918-291-2429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENNWOOD HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-24",
        "last_updated": "2009-11-30",
        "status": "A",
        "authorized_official_last_name": "LESSLEY",
        "authorized_official_first_name": "BRETT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "918-341-4857",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenpool, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.