Glenwood SNF Operations LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

GLENWOOD SNF OPERATIONS LLC

Doing business as

Glenwood Health & Rehabilitation

Practice address

550 Glenwood Dr
Mooresville, NC 28115-2876

Phone

(704) 664-7494

NPI assigned

Mar 27, 2025

Last updated

Mar 27, 2025By 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

Joseph Lieberman

Title

Vice President of Procurement

Phone

(646) 275-4510

Specialties & licenses 1

Addresses

Other names 1

• Glenwood Health & Rehabilitation Doing business as

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

{
    "created_epoch": "1743033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743033600000",
    "number": "1639972623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 GLENWOOD DR",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281152876",
            "telephone_number": "704-664-7494"
        },
        {
            "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": "704-664-7494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENWOOD SNF OPERATIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-27",
        "last_updated": "2025-03-27",
        "certification_date": "2025-03-27",
        "status": "A",
        "authorized_official_last_name": "LIEBERMAN",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "VICE PRESIDENT OF PROCUREMENT",
        "authorized_official_telephone_number": "646-275-4510"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Glenwood Health & Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Abel Helebo Gimisso, M.D.
• David Lawrence Gish, MD
• Amanda Danielle Givens, BCBA
• Lauri Patrice Givens, MD
• Glenwood Health and Rehabilitation SNF LLC
• Kylie Anne Glessman, MOT
• Joseph Livingstone Glick III, D.C.
• Emily Smith Godfrey, LCSW
• Alexis Godley
• Jessie Watts Gogg, LCSW

• Skilled Nursing Facility in Mooresville, NC
• Providers in Mooresville, NC by specialty
• Skilled Nursing Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2025; 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.