Glesener'S, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

352876 Issued in MN

Legal business name

GLESENER'S, INC.

Practice address

160 South Main Street
Bird Island, MN 55310-0140

Phone

(320) 365-3823

Fax

(320) 365-3361

NPI assigned

Dec 1, 2011

Organization subpart

No

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

Authorized official

Name

Mark Frederick Glesener, MSW

Title

Executive Director

Phone

(320) 365-3823

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1322697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322697600000",
    "number": "1336417633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 SOUTH MAIN STREET",
            "address_2": "PO BOX 140",
            "city": "BIRD ISLAND",
            "state": "MN",
            "postal_code": "553100140",
            "telephone_number": "320-365-3823",
            "fax_number": "320-365-3361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 SOUTH MAIN STREET",
            "city": "BIRD ISLAND",
            "state": "MN",
            "postal_code": "553100140",
            "telephone_number": "320-365-3823",
            "fax_number": "320-365-3361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLESENER'S, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-01",
        "last_updated": "2011-12-01",
        "status": "A",
        "authorized_official_last_name": "GLESENER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "FREDERICK",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "320-365-3823",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": "352876",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MINNESOTA UMPI",
            "identifier": "A827324300",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Bird Island, MN
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2011; 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.