Active NPI
Glenwood Health and Rehabilitation SNF LLC
- Skilled Nursing Facility
- Mooresville, NC
National Provider Identifier
1548015274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- GLENWOOD HEALTH AND REHABILITATION SNF LLC
- Practice address
- 550 Glenwood Dr
Mooresville, NC 28115-2876 - Phone
- (828) 756-3600
- NPI assigned
- Apr 17, 2024
- Last updated
- May 2, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. David Fischer
- Title
- Manager
- Phone
- (828) 756-3600
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | NU | Primary |
Addresses
Primary practice location
550 Glenwood Dr
Mooresville, NC 28115-2876
Mailing address
1815 Lakewood Road
Suite 147
Toms River, NJ 08755
National Provider Directory
National Provider DirectoryLocations
1815 Lakewood Rd
Ste 147
Toms River, NJ 08755
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1713312000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1714608000000",
"number": "1548015274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1815 LAKEWOOD ROAD",
"address_2": "SUITE 147",
"city": "TOMS RIVER",
"state": "NJ",
"postal_code": "08755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 GLENWOOD DR",
"city": "MOORESVILLE",
"state": "NC",
"postal_code": "281152876",
"telephone_number": "828-756-3600"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GLENWOOD HEALTH AND REHABILITATION SNF LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-04-17",
"last_updated": "2024-05-02",
"certification_date": "2024-05-02",
"status": "A",
"authorized_official_last_name": "FISCHER",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "828-756-3600",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mooresville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.