Glenwood Health and Rehab

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

964 Issued in AR

Legal business name

GLENWOOD HEALTH AND REHAB

Practice address

615 Mountain View Rd
Glenwood, AR 71943-9061

Phone

(870) 356-3953

Fax

(870) 356-4314

NPI assigned

Feb 18, 2015

Last updated

Feb 18, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Paula A Lee, NHA

Title

Ceo

Phone

(870) 356-3953

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1424217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424217600000",
    "number": "1457742058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 MOUNTAIN VIEW RD",
            "city": "GLENWOOD",
            "state": "AR",
            "postal_code": "719439061",
            "telephone_number": "870-356-3953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 MOUNTAIN VIEW RD",
            "city": "GLENWOOD",
            "state": "AR",
            "postal_code": "719439061",
            "telephone_number": "870-356-3953",
            "fax_number": "870-356-4314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENWOOD HEALTH AND REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-18",
        "last_updated": "2015-02-18",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "PAULA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "870-356-3953",
        "authorized_official_credential": "NHA"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "AR",
            "license": "964",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "045403",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emergency Medical Transport
• Maya Fant, QBHP-D
• Jeana Christine Ford, QBHP
• Grace Ann Galloway
• Glenwood Family Dentistry
• Glenwood Health and Rehabilitation LLC
• Glenwood Healthcare LLC
• Glenwood Holdings LLC (Glenwood Health and Rehab)
• Glenwood Nursing Home
• Glenwood Pediatrics PLLC

• Nursing Facility/Intermediate Care Facility in Glenwood, AR
• Providers in Glenwood, AR by specialty
• Nursing Facility/Intermediate Care Facility in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2015; 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.