Robert Glen Enterprises Inc

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

License

MG00309 Issued in AR

Legal business name

ROBERT GLEN ENTERPRISES INC

Doing business as

TLC HEALTH CARE

Practice address

103 Country Club Rd
Pocahontas, AR 72455-1364

Phone

(870) 892-3037

Fax

(870) 892-9808

NPI assigned

Jul 30, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Jason Nier

Title

VP

Phone

(870) 892-3037

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• TLC HEALTH CARE Doing business as

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338336000000",
    "number": "1396750923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 345",
            "city": "POCAHONTAS",
            "state": "AR",
            "postal_code": "724550345",
            "telephone_number": "870-892-3037",
            "fax_number": "870-892-9808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 COUNTRY CLUB RD",
            "city": "POCAHONTAS",
            "state": "AR",
            "postal_code": "724551364",
            "telephone_number": "870-892-3037",
            "fax_number": "870-892-9808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT GLEN ENTERPRISES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2012-05-30",
        "status": "A",
        "authorized_official_last_name": "NIER",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "870-892-3037",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "AR",
            "license": "MG00309",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "135603716",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "626098206",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TLC HEALTH CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jessica Reagan, APRN
• Tammy Reed
• Patricia Ann Reynolds, MHPP
• Adam D Robb
• Joey Michael Robbins, PD
• Suzy Roberts, OTA
• Christopher James Robinson, P.T.
• Sarah M Rogers
• Monika H Rone, LPC
• Jessica Brooke Ross-Crawford, R.N.

• Oxygen Equipment & Supplies (DME) in Pocahontas, AR
• Providers in Pocahontas, AR by specialty
• Oxygen Equipment & Supplies (DME) in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.