Glenmark Limited Liability Company I

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

127 Issued in WV

Legal business name

GLENMARK LIMITED LIABILITY COMPANY I

Practice address

Route 10 Three Mile Curve
Logan, WV 25601

Phone

(304) 752-2273

Fax

(304) 752-4167

NPI assigned

Jun 21, 2006

Organization subpart

No

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

Authorized official

Name

Jane Dropeskey

Title

Corporate Manager

Phone

(610) 925-4231

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Logan Center Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Abigail Louise Mary Richards, M.S. SLP-CFY

  • Speech-Language Pathologist
  • South Charleston, WV
  • NPI 1962789040
  NPD (past)

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1780620542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E STATE ST",
            "city": "KENNETT SQUARE",
            "state": "PA",
            "postal_code": "193483109",
            "telephone_number": "610-925-4436",
            "fax_number": "610-925-4351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ROUTE 10 THREE MILE CURVE",
            "city": "LOGAN",
            "state": "WV",
            "postal_code": "25601",
            "telephone_number": "304-752-2273",
            "fax_number": "304-752-4167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENMARK LIMITED LIABILITY COMPANY I",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-21",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "DROPESKEY",
        "authorized_official_first_name": "JANE",
        "authorized_official_title_or_position": "CORPORATE MANAGER",
        "authorized_official_telephone_number": "610-925-4231"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WV",
            "license": "127",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0003060000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA - HMO",
            "identifier": "3061641",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED-MAMSI",
            "identifier": "281422",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MOUNTAIN STATE",
            "identifier": "001703861",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Logan Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Darlie Louise Gearhart
• Linda M George, MA CCC-S
• Ghazala Quddus, M.D., Inc.
• Diane Faye Gibson, BA, LSW
• Maranda Gilkerson
• Angela Dawn Glick, LCP
• Fernando Luis Gonzalez-Ramos, MD
• Genevieve Gordon
• Sabrina Lynne Grace, MS CCC-S
• Stephanie Renee Griffith

• Skilled Nursing Facility in Logan, WV
• Providers in Logan, WV by specialty
• Skilled Nursing Facility in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.