NPIMap

Organization Active NPI

Department of Human Services Glenwood Resource Center

  • Intellectual Disabilities Intermediate Care Facility
  • Glenwood, IA
National Provider Identifier
1164589180
Registry record updated Sep 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
I-152 Issued in IA
Legal business name
DEPARTMENT OF HUMAN SERVICES GLENWOOD RESOURCE CENTER
Practice address
711 S Vine St
Glenwood, IA 51534-1927
Phone
(712) 527-4811
Fax
(712) 525-1389
NPI assigned
Jan 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2008

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

Authorized official

Name
Mr. Thomas Hoogestraat
Title
Superintendent
Phone
(712) 527-4811

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X I-152 IA Primary

Addresses

Primary practice location

711 S Vine St
Glenwood, IA 51534-1927

Mailing address

711 S Vine St
Glenwood, IA 51534-1927
Phone (712) 527-4811

National Provider Directory

National Provider Directory
Tax ID family
Department of Human Services Glenwood Resource Center5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220313600000",
    "number": "1164589180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 S VINE ST",
            "city": "GLENWOOD",
            "state": "IA",
            "postal_code": "515341927",
            "telephone_number": "712-527-4811",
            "fax_number": "712-525-1389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 S VINE ST",
            "city": "GLENWOOD",
            "state": "IA",
            "postal_code": "515341927",
            "telephone_number": "712-527-4811",
            "fax_number": "712-525-1389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEPARTMENT OF HUMAN SERVICES GLENWOOD RESOURCE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2008-09-02",
        "status": "A",
        "authorized_official_last_name": "HOOGESTRAAT",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "712-527-4811",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "IA",
            "license": "I-152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenwood, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2008; 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.