Glen Haven Home, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

S0191 Issued in IA

Legal business name

GLEN HAVEN HOME, INC.

Doing business as

Glen Haven Village
Linnwood Estates

Practice address

133 Indian Hills Dr
Glenwood, IA 51534-1911

Phone

(712) 302-9016

Fax

(712) 302-9017

NPI assigned

Nov 1, 2006

Last updated

Feb 26, 2026By 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

Julianne M Marriott

Title

Administrator

Phone

(712) 302-9016

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 2

• Glen Haven Village Doing business as
• Linnwood Estates Doing business as

Tax ID family

Glen Haven Home Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Glen Haven Home, Inc.

  dba Glen Haven Village

  • Skilled Nursing Facility
  • Glenwood, IA
  • NPI 1407931546
  NPD tax ID

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772064000000",
    "number": "1528146172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 N LINN ST",
            "city": "GLENWOOD",
            "state": "IA",
            "postal_code": "515341100",
            "telephone_number": "712-527-1035",
            "fax_number": "712-527-2771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 INDIAN HILLS DR",
            "city": "GLENWOOD",
            "state": "IA",
            "postal_code": "515341911",
            "telephone_number": "712-302-9016",
            "fax_number": "712-302-9017"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 N Linn St",
            "address_purpose": "LOCATION",
            "city": "Glenwood",
            "state": "IA",
            "postal_code": "515341100",
            "country_code": "US",
            "telephone_number": "712-527-1035",
            "fax_number": "712-527-2771",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GLEN HAVEN HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2026-02-26",
        "certification_date": "2026-02-26",
        "status": "A",
        "authorized_official_last_name": "MARRIOTT",
        "authorized_official_first_name": "JULIANNE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "712-302-9016"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "IA",
            "license": "S0191",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0435222",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Glen Haven Village",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Linnwood Estates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Linnwood Estates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Glenwood, IA
• Providers in Glenwood, IA by specialty
• Assisted Living Facility in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2026; 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.