The Glen Retirement System

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

THE GLEN RETIREMENT SYSTEM

Practice address

403 E Flournoy Lucas Rd
Shreveport, LA 71115-3906

Phone

(318) 798-3500

Fax

(318) 798-7988

NPI assigned

Mar 23, 2007

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

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

  • Skilled Nursing Facility
  • Shreveport, LA
  • NPI 1275614497
  NPD tax ID
• The Glen Retirement System

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

Locations

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247616000000",
    "number": "1306963582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2535 BERT KOUNS INDUSTRIAL LOOP",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711183159",
            "telephone_number": "318-683-5111",
            "fax_number": "318-683-5141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE GLEN RETIREMENT SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2009-07-15",
        "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": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 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
• The Golden Center LLC
• The Guest Care at Spring Lake, LLC
• The Guest House LLC
• The Healing Clinic, LLC

• Durable Medical Equipment & Medical Supplies in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Durable Medical Equipment & Medical Supplies in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.