Organization Active NPI

Department of Human Services Glenwood Resource Center

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Glenwood, IA
National Provider Identifier
1356474019
Registry record updated Aug 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
DEPARTMENT OF HUMAN SERVICES GLENWOOD RESOURCE CENTER
Practice address
711 S Vine St
Glenwood, IA 51534-1927
Phone
(712) 527-4811
NPI assigned
Mar 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2008

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

Authorized official

Name
Diana Hoogestraat
Title
Social Worker
Phone
(712) 527-4811

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X Primary

Addresses

Primary practice location

711 S Vine St
Glenwood, IA 51534-1927

Mailing address

711 S Vine St
Glenwood, IA 51534-1927
Phone (712) 527-4811

Other names 1

  • RTSS Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Department of Human Services Glenwood Resource Center5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219881600000",
    "number": "1356474019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 S VINE ST",
            "city": "GLENWOOD",
            "state": "IA",
            "postal_code": "515341927",
            "telephone_number": "712-527-4811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 S VINE ST",
            "city": "GLENWOOD",
            "state": "IA",
            "postal_code": "515341927",
            "telephone_number": "712-527-4811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEPARTMENT OF HUMAN SERVICES GLENWOOD RESOURCE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2008-08-28",
        "status": "A",
        "authorized_official_last_name": "HOOGESTRAAT",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "SOCIAL WORKER",
        "authorized_official_telephone_number": "712-527-4811"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RTSS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glenwood, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2008; 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.