NPIMap

Organization Active NPI

Glenwood Healthcare, Inc.

  • Skilled Nursing Facility
  • Florence, AL
National Provider Identifier
1174515704
Registry record updated Jan 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
5508 Issued in AL
Legal business name
GLENWOOD HEALTHCARE, INC.
Practice address
211 Ana Drive
Florence, AL 35630-1768
Phone
(256) 766-8963
Fax
(256) 768-2780
NPI assigned
Aug 19, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2012

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

Authorized official

Name
Dr. Dwight M. SpearmanNPI 1285687103
Title
President
Phone
(256) 766-8963

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 10579 AL
Skilled Nursing Facility 314000000X 5508 AL Primary

Addresses

Primary practice location

211 Ana Drive
Florence, AL 35630-1768

Mailing address

211 Ana Drive
Florence, AL 35630-1768
Phone (256) 766-8963

Other identifiers 3

IdentifierTypeStateIssuer
4751220SMedicaidAL
010641OtherALBCBS PROVIDER NUMBER
010641OtherALBCBS OF ALABAMA

Other names 1

  • Glenwood Convalescent Center, Inc. Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
211 213 Ana Drive Operations LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1124409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326067200000",
    "number": "1174515704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 ANA DRIVE",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356301768",
            "telephone_number": "256-766-8963",
            "fax_number": "256-768-2780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 ANA DRIVE",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356301768",
            "telephone_number": "256-766-8963",
            "fax_number": "256-768-2780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENWOOD HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-19",
        "last_updated": "2012-01-09",
        "status": "A",
        "authorized_official_last_name": "SPEARMAN",
        "authorized_official_first_name": "DWIGHT",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "256-766-8963",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "AL",
            "license": "10579",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "AL",
            "license": "5508",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4751220S",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "010641",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF ALABAMA",
            "identifier": "010641",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Glenwood Convalescent Center, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Florence, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2012; 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.