GLEN HAVEN HOME (NPI# 1528146172) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1528146172 |
Entity Type | Organization |
Organization Name | GLEN HAVEN HOME |
Other Organization Name | LINNWOOD ESTATES |
Practice Address |
700 N Linn St Glenwood IA 51534-1100 |
Practice Telephone | 7125271035 |
Practice Fax Number | 7125272771 |
Mailing Telephone | 7125271035 |
Mailing Fax Number | 7125272771 |
Enumeration Date | 2006-11-01 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MR. RICHARD L DELASHMUTT (PRESIDENT) |
Authorized Official Telephone | 4026699797 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 310400000X | Assisted Living Facility | S0191 | IA | Nursing & Custodial Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IA | 0435222 | 05 |
Other Name | Type Code |
---|---|
Linnwood Estates | Doing Business As Name - Organization |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | GLEN HAVEN HOME INC | 302 6th St, Glenwood, IA 51534-1129 |
Iowa Business Entities | GLEN HAVEN HOME, INC. | 302 6th St, Glenwood, IA 51534 |
Street Address |
700 N LINN ST |
City | GLENWOOD |
State | IA |
Zip Code | 51534-1100 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932421286 | Michael J Hanlon | Pharmacist | 2803 East Kanesville Boulevard, Council Bluffs, IA 51534 | 2010-02-26 |
1417143199 | Nancy Goodell Schmailzl | Pharmacist | 1206 Locust, Glenwood, IA 51534 | 2007-09-17 |
1639372055 | Margramon P C | Pharmacy | 1206 S Locust St, Glenwood, IA 51534 | 2007-06-06 |
1083824791 | Denise Jaye Johnson | Physical Therapist | 212 Independence Ave, Suite 100, Glenwood, IA 51534 | 2007-05-23 |
1841355575 | On With Life Extended Service, Ltd. | Skilled Nursing Facility | 714 Lacey St, Glenwood, IA 51534 | 2006-12-22 |
1033270913 | Robert F Lothrop Dds PC | Dentist | 112 S Vine, Glenwood, IA 51534 | 2006-12-13 |
1689749806 | Tracy A Stromgren | Chiropractor | 24 North Walnut, Glenwood, IA 51534 | 2006-11-22 |
1417022096 | Glenwood Family Dentistry PC | Dentist | 514 First St, Glenwood, IA 51534 | 2006-11-21 |
1023105855 | Physicians Clinic, Inc. | Durable Medical Equipment & Medical Supplies | 320 Ebaugh Street, Glenwood, IA 51534 | 2006-10-05 |
1801018452 | Stromgren Chiropractic Pa | Chiropractor | 24 North Walnut, Glenwood, IA 51534 | 2007-05-03 |
Find all providers in zip 51534 |
Taxonomy Code | 310400000X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Assisted Living Facility |
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639405616 | Parkview Court | Assisted Living Facility | 300 8th Ave Se, Glenwood, MN 56334-1852 | 2009-10-26 |
1407049562 | Oak Park Village | Assisted Living Facility | 507 Mountain View Rd, Glenwood, AR 71943-9011 | 2007-08-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235739582 | Countryhouse Cedar Rapids LLC | Assisted Living Facility | 5710 Gibson Drive Ne, Cedar Rapids, IA 52411 | 2020-10-27 |
1912504366 | Algona Ia Assisted Living Facility LLC | Assisted Living Facility | 512 N Finn Dr, Algona, IA 50511-7228 | 2020-10-07 |
1295349207 | Keystone North Liberty, LLC | Assisted Living Facility | 1275 W Forevergreen Rd, North Liberty, IA 52317-8533 | 2020-09-08 |
1316557218 | Rock Valley Assisted Living LLC | Assisted Living Facility | 712 Westview Dr, Rock Valley, IA 51247-7619 | 2020-08-05 |
1962011262 | Heartland Health Management, Inc. | Assisted Living Facility | 126 W Stonebrook Dr, Mount Pleasant, IA 52641-2686 | 2020-07-23 |
1972125003 | Arhc Phcrpia01 Trs, LLC | Assisted Living Facility | 2903 F Ave Nw, Cedar Rapids, IA 52405-2909 | 2020-05-12 |
1740812072 | Spirit Lake Senior Operator, LLC | Assisted Living Facility | 2810 Aurora Ave, Spirit Lake, IA 51360-7055 | 2020-02-05 |
1679112841 | Arhc Psindia01 Trs | Assisted Living Facility | 505 Enterprise Dr, Independence, IA 50644-9603 | 2020-01-05 |
1356996177 | Abilit Holdings (hawthorne Crossing) LLC | Assisted Living Facility | 601 Hawthorne Crossing Dr Se, Bondurant, IA 50035-1376 | 2019-08-08 |
1881253151 | Hammond Center, LLC | Assisted Living Facility | 907 Orchard Dr, Grinnell, IA 50112-2075 | 2019-06-11 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.