The Glen Retirement System

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

93 Issued in LA

Legal business name

THE GLEN RETIREMENT SYSTEM

Doing business as

Glen Oaks Retirement Home

Practice address

1524 Glen Oak PL
Shreveport, LA 71103-3816

Phone

(318) 221-0911

NPI assigned

Oct 17, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Debra D. Williams

Title

Chief Financial Officer

Phone

(318) 798-3500

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Glen Oaks Retirement Home Doing business as

Tax ID family

The Glen Retirement Sys3 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.

• The Glen Retirement System

  • Durable Medical Equipment & Medical Supplies
  • Shreveport, LA
  • NPI 1306963582
  NPD tax ID
• The Glen Retirement System

  dba Village Health Care

  • Skilled Nursing Facility
  • Shreveport, LA
  • NPI 1821178575
  NPD tax ID

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275614497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 E FLOURNOY LUCAS RD",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711153906",
            "telephone_number": "318-798-3500",
            "fax_number": "318-798-7988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1524 GLEN OAK PL",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711033816",
            "telephone_number": "318-221-0911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE GLEN RETIREMENT SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "318-798-3500",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "LA",
            "license": "93",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1510394",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Glen Oaks Retirement Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• The Center for Therapy, Inc (The Center for Therapy Pediatric Services)
• The Delta Pathology Group LLC
• The Delta Pathology Group LLC
• The Delta Pathology Group, L.L.C.
• The Edge Physical Therapy and Sports Science Center
• The Glen Retirement System
• The Glen Retirement System (Village Health Care)
• The Golden Center LLC
• The Guest Care at Spring Lake, LLC
• The Guest House LLC

• Skilled Nursing Facility in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Skilled Nursing Facility in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.