Glenoaks Rd Healthcare LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

GLENOAKS RD HEALTHCARE LLC

Doing business as

Adea Health & Rehab Center

Practice address

1101 Glenoaks Rd
Shelbyville, TN 37160-2529

Phone

(931) 684-8340

Fax

(931) 684-2385

NPI assigned

Jun 15, 2023

Last updated

Jun 15, 2023By 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

William Miller

Title

Manager

Phone

(208) 969-0254

Specialties & licenses 1

Addresses

Other names 1

• Adea Health & Rehab Center Doing business as

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

{
    "created_epoch": "1686787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686787200000",
    "number": "1649955931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 GLENOAKS RD",
            "city": "SHELBYVILLE",
            "state": "TN",
            "postal_code": "371602529",
            "telephone_number": "931-684-8340",
            "fax_number": "931-684-2385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 GLENOAKS RD",
            "city": "SHELBYVILLE",
            "state": "TN",
            "postal_code": "371602529",
            "telephone_number": "931-684-8340",
            "fax_number": "931-684-2385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENOAKS RD HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-15",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "208-969-0254"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Adea Health & Rehab Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John H Gilmore
• John Leander Gilmore, DDS
• Glen Oaks Convalescent Center
• Glen Oaks Healthcare LLC (Glen Oaks Health and Rehabilitation)
• Glen Oaks, LLC (Glen Oaks Health and Rehabilitation)
• Jamie Elise Gonzales, PA-C
• Jennifer Gray
• Jeremy Gray
• Carol A Green, RN
• Andre Gregory, DC MS

• Skilled Nursing Facility in Shelbyville, TN
• Providers in Shelbyville, TN by specialty
• Skilled Nursing Facility in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2023; 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.