NPIMap

Organization Active NPI

Glenwood, Inc.

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Birmingham, AL
National Provider Identifier
1285646430
Registry record updated Mar 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
GLENWOOD, INC.
Practice address
150 Glenwood LN
Birmingham, AL 35242-5700
Phone
(205) 969-2880
Fax
(205) 795-3261
NPI assigned
Aug 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2008

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

Authorized official

Name
Barbara Murbach
Title
Vice President of Administration
Phone
(205) 795-3206

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X AL
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X AL Primary
Psychiatric Residential Treatment Facility 323P00000X AL

Addresses

Primary practice location

150 Glenwood LN
Birmingham, AL 35242-5700

Mailing address

150 Glenwood LN
Birmingham, AL 35242-5700
Phone (205) 969-2880

Other identifiers 1

IdentifierTypeStateIssuer
RTF0014HMedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180130001155 AL Part B Supplier - Clinic/Group Practice 7719247311 Receives reassigned benefits from 4 practitioners
Practice locations: Birmingham, AL

National Provider Directory

National Provider Directory
Tax ID family
Glenwood Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Practitioners & affiliated clinicians

Practitioners 4

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": "1155427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205798400000",
    "number": "1285646430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 GLENWOOD LN",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352425700",
            "telephone_number": "205-969-2880",
            "fax_number": "205-795-3261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 GLENWOOD LN",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352425700",
            "telephone_number": "205-969-2880",
            "fax_number": "205-795-3261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENWOOD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-13",
        "last_updated": "2008-03-18",
        "status": "A",
        "authorized_official_last_name": "MURBACH",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "VICE PRESIDENT OF ADMINISTRATION",
        "authorized_official_telephone_number": "205-795-3206"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "AL",
            "license": null,
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "AL",
            "license": null,
            "primary": true
        },
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "AL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RTF0014H",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.