Glenwood Nursing & Rehab, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

843 Issued in AR

Legal business name

GLENWOOD NURSING & REHAB, LLC

Practice address

299 S 24TH St
Rogers, AR 72758-1102

Phone

(479) 636-5497

NPI assigned

Oct 29, 2007

Last updated

Oct 29, 2007By 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

Mr. John Montgomery

Title

Owner

Phone

(918) 489-2755

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1193616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193616000000",
    "number": "1720267602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 MOUNTAIN VIEW RD",
            "city": "GLENWOOD",
            "state": "AR",
            "postal_code": "719439061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "299 S 24TH ST",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727581102",
            "telephone_number": "479-636-5497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENWOOD NURSING & REHAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-29",
        "last_updated": "2007-10-29",
        "status": "A",
        "authorized_official_last_name": "MONTGOMERY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-489-2755",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "AR",
            "license": "843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alisha Elaine Gilmore, NP
• Charles Stephen Ginn, DPM
• Sally J Gladden, DPT
• Summer Glass
• Dorothy Diane Gleditsch, M.D.
• Kayla Glisson
• Glomar Medical Nwa PLLC
• GN Hearing Care Corp (Beltone)
• Colette Renee Goble, PT
• Kaylee Jo Goff

• Skilled Nursing Facility in Rogers, AR
• Providers in Rogers, AR by specialty
• Skilled Nursing Facility in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2007; 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.