Glenwood Healthcare and Rehab

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

License

0032839 Issued in IL

Legal business name

GLENWOOD HEALTHCARE AND REHAB

Practice address

19330 S Cottage Grove Ave
Glenwood, IL 60425-1834

Phone

(708) 758-6200

Fax

(708) 758-9563

NPI assigned

Oct 22, 2008

Last updated

Oct 22, 2008By 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. Katherine J Murphy, MHA

Title

Asst. Controller

Phone

(217) 637-2794

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1224633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224633600000",
    "number": "1780836718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19330 S COTTAGE GROVE AVE",
            "city": "GLENWOOD",
            "state": "IL",
            "postal_code": "604251834",
            "telephone_number": "708-758-6200",
            "fax_number": "708-758-9563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19330 S COTTAGE GROVE AVE",
            "city": "GLENWOOD",
            "state": "IL",
            "postal_code": "604251834",
            "telephone_number": "708-758-6200",
            "fax_number": "708-758-9563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENWOOD HEALTHCARE AND REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-22",
        "last_updated": "2008-10-22",
        "status": "A",
        "authorized_official_last_name": "MURPHY",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "ASST. CONTROLLER",
        "authorized_official_telephone_number": "217-637-2794",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MHA"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "IL",
            "license": "0032839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bridget Duggan, CCC/SLP
• Guameda Eady, APN
• Genesis Cila Homes Inc
• Getting Better Fitness
• Glenwood Healthcare & Rehab, Inc
• Kenyetta Hall
• Denetra L Hardy, LPC
• Arteasia Harris, CNA
• Clarissa Hart
• Health Providers

• Oxygen Equipment & Supplies (DME) in Glenwood, IL
• Providers in Glenwood, IL by specialty
• Oxygen Equipment & Supplies (DME) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2008; 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.