Glen Haven Village

LBN: Glen Haven Home, Inc.
Glen Haven Village is an health care organization with primary practice located at 252 Indian Hills Dr , Glenwood IA 51534-1912. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Glen Haven Home, Inc. can be contacted via phone (712) 302-9016, or through Marriott, Julianne M via phone (712) 302-9016.

Contact Information

Primary practice address
252 Indian Hills Dr Glenwood IA 51534-1912
Phone: (712) 302-9016
Fax: (712) 302-9017
Website:
Map and Directions
Authorized official contact:
Name: Marriott, Julianne M NHA
Phone: (712) 302-9016

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 650355 Iowa
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X

Profile Details

NPI number 1407931546
LBN Legal business name Glen Haven Home, Inc.
DBA Doing business as Glen Haven Village
Authorized official Marriott, Julianne M NHA
Entity Organization
Organization subpart 1 No
Enumeration date Oct 26th, 2006
Last updated Dec 15th, 2021 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407931546 NPPES
Iowa MEDICAID 0801365
Iowa Other 65530

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