MRS. GLENDA ALISE JOHNSON 05/04/1974 NPI 1689832420

NPI Information

NPI: 1689832420
Provider Name: MRS. GLENDA ALISE JOHNSON, 05/04/1974
Classification: Nursing Home Administrator - 376G00000X
Entity Type: Individual
Address:
13514 KELSO AVE
CLEVELAND, OH
ZIP 44110
Phone: (216) 925-6559
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MRS. Glenda Alise Johnson, 05/04/1974 is a nursing home administrator in Cleveland, OH. The provider is an individual, often licensed by the state, who is responsible for the management of a nursing home. MRS. Glenda Alise Johnson, 05/04/1974 NPI is 1689832420. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

13514 KELSO AVE
CLEVELAND, OH
ZIP 44110
Phone: (216) 925-6559

The enumeration date for this NPI number is 5/29/2008 and was last updated on 6/25/2011.

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	376G00000X	Nursing Home Administrator		375268750696	OHIO	Yes

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: 4/28/2024

NPI Synchronization or Removal

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