Organization Active NPI

Glenwood Health and Rehabilitation SNF LLC

  • Skilled Nursing Facility
  • Mooresville, NC
National Provider Identifier
1548015274
Registry record updated May 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
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, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2024

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.