Organization Active NPI

Glendas Garden LLC

  • Mental Illness Community Based Residential Treatment Facility
  • Raleigh, NC
National Provider Identifier
1699488734
Registry record updated Jan 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
GLENDAS GARDEN LLC
Practice address
4361 Auburn Hills Dr
Raleigh, NC 27616-9309
Phone
(919) 348-7775
NPI assigned
Jan 4, 2023
Last updated
Jan 4, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Adrienne Johnson
Title
Owner
Phone
(919) 348-7775

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X NU Primary
Respite Care 385H00000X NU

Addresses

Primary practice location

4361 Auburn Hills Dr
Raleigh, NC 27616-9309

Mailing address

4361 Auburn Hills Dr
Raleigh, NC 27616-9309
Phone (919) 348-7775

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1672790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672790400000",
    "number": "1699488734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4361 AUBURN HILLS DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276169309",
            "telephone_number": "919-348-7775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4361 AUBURN HILLS DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276169309",
            "telephone_number": "919-348-7775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENDAS GARDEN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-04",
        "last_updated": "2023-01-04",
        "certification_date": "2023-01-04",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "ADRIENNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-348-7775",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 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.