Glenwood Place Retirement Community

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

S0086 Issued in IA

Legal business name

GLENWOOD PLACE RETIREMENT COMMUNITY

Practice address

2907 S 6TH St
Marshalltown, IA 50158-4687

Phone

(641) 752-8410

Fax

(641) 752-8515

NPI assigned

May 22, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Amy Renee Edmonson

Title

Manager

Phone

(641) 752-8410

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316156326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2907 S 6TH ST",
            "city": "MARSHALLTOWN",
            "state": "IA",
            "postal_code": "501584687",
            "telephone_number": "641-752-8410",
            "fax_number": "641-752-8515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2907 S 6TH ST",
            "city": "MARSHALLTOWN",
            "state": "IA",
            "postal_code": "501584687",
            "telephone_number": "641-752-8410",
            "fax_number": "641-752-8515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENWOOD PLACE RETIREMENT COMMUNITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EDMONSON",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "641-752-8410",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "IA",
            "license": "S0086",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0477349",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lindi Gerard, RN, BSN
• Angela Marie Giannetto, PHARMACIST
• Renee D Gibson, BS, MS, TCADC
• Denise C Gimbel, OD
• Glenwood Place LLC
• Karisa Marie Goering, PA-C
• Kelli Grabau, RPH
• Grace C Mae Advocate Center
• John M Graether, MD
• Grandview Heights Inc

• Assisted Living Facility in Marshalltown, IA
• Providers in Marshalltown, IA by specialty
• Assisted Living Facility in Iowa

• 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.