Organization Active NPI

Hsa Glenwood LLC

Doing business as Glenwood Regional Medical Center

  • Psychiatric Hospital Unit
  • West Monroe, LA
National Provider Identifier
1336963578
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
Legal business name
HSA GLENWOOD LLC
Doing business as
Glenwood Regional Medical Center
Practice address
128 Ridgedale Dr
West Monroe, LA 71291-2017
Phone
(318) 329-4525
NPI assigned
Nov 13, 2024
Last updated
Nov 13, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2024

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

Authorized official

Name
Aimee Gill
Title
Deputy General Counsel
Phone
(818) 666-0602

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X Primary

Addresses

Primary practice location

128 Ridgedale Dr
West Monroe, LA 71291-2017

Mailing address

505 N Brand Blvd Ste 1200
Glendale, CA 91203-3328
Phone (818) 666-0602

Other practice location 1

503 McMillan Rd
West Monroe, LA 71291-5327
Phone (318) 329-4200

Other names 1

  • Glenwood Regional Medical Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250311002556 LA Part A Provider - Hospital 4688103583 Practice locations: West Monroe, LA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Locations

102 Thomas Rd
Ste 302
West Monroe, LA 71291
Phone (318) 329-4776

128 Ridgedale Dr
West Monroe, LA 71291
Phone (318) 329-4279

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Glenwood Regional Medical CenterWest Monroe, LA, CCN 190160 Hospital 5% Or Greater Direct Ownership Interest (100%) Oct 30, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1731456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731456000000",
    "number": "1336963578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 N BRAND BLVD STE 1200",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912033328",
            "telephone_number": "818-666-0602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 RIDGEDALE DR",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712912017",
            "telephone_number": "318-329-4525"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "503 McMillan Rd",
            "address_purpose": "LOCATION",
            "city": "West Monroe",
            "state": "LA",
            "postal_code": "712915327",
            "country_code": "US",
            "telephone_number": "318-329-4200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HSA GLENWOOD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-13",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-01",
        "status": "A",
        "authorized_official_last_name": "GILL",
        "authorized_official_first_name": "AIMEE",
        "authorized_official_title_or_position": "DEPUTY GENERAL COUNSEL",
        "authorized_official_telephone_number": "818-666-0602"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Glenwood Regional Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Monroe, LA

Sources for this page

Verify at the official NPI Registry.