Glenwood Opco LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

GLENWOOD OPCO LLC

Doing business as

Glenwood Health and Rehabilitation

Practice address

41 N Fifth St
Glenwood, GA 30428-3701

Phone

(912) 523-5102

Fax

(912) 523-2182

NPI assigned

Apr 7, 2025

Last updated

Jul 3, 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

Dovid A Fischer

Title

Manager

Phone

(732) 606-2773

Specialties & licenses 1

Addresses

Other names 1

• Glenwood Health and Rehabilitation Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1730973595. Details of each certification follow.

• CCN 115703 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 115703

Legal name

GLENWOOD OPCO LLC

Doing business as

GLENWOOD HEALTH AND REHABILITATION

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Oct 1, 2005

Last certification

Nov 10, 2024

Beds

62

Ownership / control type

Limited Liability Corporation

Multi-facility organization

Brighton Healthcare

Organization structure

LLCProprietary

Enrollment address

41 N Fifth St
Glenwood, GA 30428-3701

Nursing home name

GLENWOOD HEALTH AND REHABILITATION

Affiliated entity

BRIGHTON HEALTHCARE

Listed as

Glenwood Health and RehabilitationCCN 115703 · All quality measures

Overall star rating

1 of 5

Health inspections

2 of 5

Staffing

1 of 5

Quality measures

1 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Oct 1, 2005

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

6243.6 residents per day on average

Chain

Brighton Healthcare8 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

All disclosed owners & managing parties 14

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Michael Todd Peacock, M.D.

  • Internal Medicine Physician
  • Eastman, GA
  • NPI 1487636742

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael Todd Peacock, M.D.

  • Internal Medicine Physician
  • Eastman, GA
  • NPI 1487636742
  NPD (past)

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

{
    "created_epoch": "1743984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751500800000",
    "number": "1730973595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 N FIFTH ST",
            "city": "GLENWOOD",
            "state": "GA",
            "postal_code": "304283701",
            "telephone_number": "912-523-5102",
            "fax_number": "912-523-2182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 N FIFTH ST",
            "city": "GLENWOOD",
            "state": "GA",
            "postal_code": "304283701",
            "telephone_number": "912-523-5102",
            "fax_number": "912-523-2182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENWOOD OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-07",
        "last_updated": "2025-07-03",
        "certification_date": "2025-07-03",
        "status": "A",
        "authorized_official_last_name": "FISCHER",
        "authorized_official_first_name": "DOVID",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "732-606-2773"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Glenwood Health and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brittainey Nicale Bryant
• Commissioner of Roads & Revenue Wheeler County (Wheeler County Ems)
• Freds Stores of Tennessee Inc (Getwell Drug and Dollar 6018)
• Glenwood Drug ,Inc Dba Glenwood Pharmacy
• Glenwood Healthcare, LLC (Glenwood Healthcare)
• Mark Griffis, MD
• GW SNF LLC (Glenwood Healthcare)
• Anthony Junco Jr., M.D.
• Lower Oconee Community Hospital Inc
• Lower Oconee Community Hospital Inc

• Skilled Nursing Facility in Glenwood, GA
• Providers in Glenwood, GA by specialty
• Skilled Nursing Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.