GLEN HAVEN HOME NPI 1528146172

NPI Information

NPI: 1528146172
Provider Name: GLEN HAVEN HOME

Doing Business As: LINNWOOD ESTATES

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 16D0719131

Address:
700 N LINN ST
GLENWOOD, IA
ZIP 51534
Phone: (712) 527-1035
Get Directions

GLEN HAVEN HOME is an assisted living facility in Glenwood, IA. The provider is 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. GLEN HAVEN HOME NPI is 1528146172. The provider is registered as an organization entity type.
The provider Is Doing Business As Linnwood Estates.

The provider's business location address is:

700 N LINN ST
GLENWOOD, IA
ZIP 51534-100
Phone: (712) 527-1035
Fax: (712) 527-2771

The provider's authorized official is Richard L Delashmutt .
The authorized official title is President and has the following contact phone number (402) 669-9797.

The CLIA number assigned to this NPI record is 16D0719131 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/1/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	310400000X	Assisted Living Facility		S0191	IOWA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0435222	MEDICAID	IOWA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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