Glenwood House

LBN: Ottawa Friendship House Work Activity Center, Inc
Glenwood House is an health care organization with primary practice located at 600 West 12Th Street , Streator IL 61364. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded, which is considered as the primary health care specialty. Ottawa Friendship House Work Activity Center, Inc can be contacted via phone (815) 673-1182, or through Mangold, Beth Ann via phone (815) 434-0737.

Contact Information

Primary practice address
600 West 12Th Street Streator IL 61364
Phone: (815) 673-1182
Fax: (815) 673-3231
Website:
Map and Directions
Authorized official contact:
Name: Mangold, Beth Ann
Phone: (815) 434-0737

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X

Profile Details

NPI number 1093110066
LBN Legal business name Ottawa Friendship House Work Activity Center, Inc
DBA Doing business as Glenwood House
Authorized official Mangold, Beth Ann
Entity Organization
Organization subpart 1 No
Enumeration date Nov 3rd, 2014
Last updated Nov 3rd, 2014 - about 10 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 1093110066 NPPES
Illinois MEDICAID 14G282

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