Glenwood Place Senior Living, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

1479 Issued in WA

Legal business name

GLENWOOD PLACE SENIOR LIVING, LLC

Practice address

5500 NE 82ND Ave
Vancouver, WA 98662-9410

Phone

(360) 892-1100

Fax

(360) 896-3594

NPI assigned

Sep 2, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Gary Rood

Title

Owner

Phone

(360) 892-2920

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1314921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314921600000",
    "number": "1790066793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 NE 82ND AVE",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986629410",
            "telephone_number": "360-892-1100",
            "fax_number": "360-896-3594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 NE 82ND AVE",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986629410",
            "telephone_number": "360-892-1100",
            "fax_number": "360-896-3594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENWOOD PLACE SENIOR LIVING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-02",
        "last_updated": "2011-09-02",
        "status": "A",
        "authorized_official_last_name": "ROOD",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-892-2920",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "WA",
            "license": "1479",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "514192",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Barbara Gleason
• Sherry D Gleave, LMP
• Michelle Glenn
• Raemaris Glenn, DC
• Tristin Glennon
• Annanissa Jean Glidden, M.A.
• Ashley Gliddon, AA
• Global Security & Communication, Inc
• August Glomski, MPH
• Amanda Jo Gloudeman

• Assisted Living Facility in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Assisted Living Facility in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2011; 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.