NPIMap

Organization Active NPI

Glow House

  • Intellectual Disabilities Intermediate Care Facility
  • New Lexington, OH
National Provider Identifier
1366771883
Registry record updated Dec 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
6410512 Issued in OH
Legal business name
GLOW HOUSE
Practice address
5355 Tile Plant Rd SE
New Lexington, OH 43764-9801
Phone
(740) 343-0793
Fax
(740) 343-0794
NPI assigned
Dec 11, 2009
Organization subpart
Yes
Parent organization
MOUNT ALOYSIUS CORP.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 11, 2009

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

Authorized official

Name
Mrs. Jean Ann Arbaugh
Title
Administrator
Phone
(740) 342-3343

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X 6410512 OH Primary

Addresses

Primary practice location

5355 Tile Plant Rd SE
New Lexington, OH 43764-9801

Mailing address

5355 Tile Plant Rd SE
PO Box 598
New Lexington, OH 43764-9801
Phone (740) 343-0793

Other identifiers 1

IdentifierTypeStateIssuer
2995933MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Intermediate care facility for individuals with intellectual disabilities certification: CCN 36G645

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
GLOW HOUSE
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
Oct 23, 2009
Last certification
Feb 5, 2026
Beds
8
Ownership / control type
Private (non-profit)
Facility address
5355 Tile Plant Road
New Lexington, OH 43764

National Provider Directory

National Provider Directory
Tax ID family
Mount Aloysius Corporat3 organizations share this tax ID, including this one
Part of
Mount Aloysius Corporat

Other organizations with this tax ID 2

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1260489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260489600000",
    "number": "1366771883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5355 TILE PLANT RD SE",
            "address_2": "PO BOX 598",
            "city": "NEW LEXINGTON",
            "state": "OH",
            "postal_code": "437649801",
            "telephone_number": "740-343-0793",
            "fax_number": "740-343-0794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5355 TILE PLANT RD SE",
            "city": "NEW LEXINGTON",
            "state": "OH",
            "postal_code": "437649801",
            "telephone_number": "740-343-0793",
            "fax_number": "740-343-0794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLOW HOUSE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MOUNT ALOYSIUS CORP.",
        "enumeration_date": "2009-12-11",
        "last_updated": "2009-12-11",
        "status": "A",
        "authorized_official_last_name": "ARBAUGH",
        "authorized_official_first_name": "JEAN ANN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "740-342-3343",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "OH",
            "license": "6410512",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2995933",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Lexington, OH

Sources for this page

Verify at the official NPI Registry.