Glenwood Place LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

S0086 Issued in IA

Legal business name

GLENWOOD PLACE LLC

Practice address

2907 S 6TH St
Marshalltown, IA 50158-4687

Phone

(641) 752-8410

Fax

(641) 752-8515

NPI assigned

Jun 30, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Stephanie Jane Deschamp

Title

Manager

Phone

(641) 752-8410

Specialties & licenses 1

Addresses

Tax ID family

Ec Opco Shelby LP2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Ec Opco Shelby LP

  • Assisted Living Facility
  • Shelby, NC
  • NPI 1134765720
  NPD tax ID

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

{
    "created_epoch": "1214784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214784000000",
    "number": "1952563009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2907 S 6TH ST",
            "city": "MARSHALLTOWN",
            "state": "IA",
            "postal_code": "501584687",
            "telephone_number": "641-752-8410",
            "fax_number": "641-752-8515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2907 S 6TH ST",
            "city": "MARSHALLTOWN",
            "state": "IA",
            "postal_code": "501584687",
            "telephone_number": "641-752-8410",
            "fax_number": "641-752-8515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENWOOD PLACE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-30",
        "last_updated": "2008-06-30",
        "status": "A",
        "authorized_official_last_name": "DESCHAMP",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "641-752-8410",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "IA",
            "license": "S0086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Genoa Healthcare LLC
• Lindi Gerard, RN, BSN
• Angela Marie Giannetto, PHARMACIST
• Renee D Gibson, BS, MS, TCADC
• Denise C Gimbel, OD
• Glenwood Place Retirement Community
• Karisa Marie Goering, PA-C
• Kelli Grabau, RPH
• Grace C Mae Advocate Center
• John M Graether, MD

• Assisted Living Facility in Marshalltown, IA
• Providers in Marshalltown, IA by specialty
• Assisted Living Facility in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.