GLENWOOD HOUSE RESIDENTIAL CARE, INC.
NPI 1205014727
Intermediate Care Facility, Intellectual Disabilities in Streator, IL

Active since February 06, 2008
300 W 12TH ST, STREATOR, IL 61364(815) 673-1182(815) 673-3231 Get Directions Write a Review

NPPES record last updated: February 6, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Glenwood House Residential Care, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GLENWOOD HOUSE RESIDENTIAL CARE, INC. (NPI 1205014727) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Streator, Illinois and active in the NPI registry since February 2008. The organization lists Ralph S Gomes, President, as its authorized official.

NPPES Registry Identity

NPI1205014727
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameGLENWOOD HOUSE RESIDENTIAL CARE, INC.
Location Address300 W 12TH STStreator, IL 61364-3301
Mailing Address300 W 12th StStreator, IL 61364-3301 · (815) 673-1182 · Fax (815) 673-3231
Fax(815) 673-3231
Organization SubpartNo
Authorized OfficialRalph S GomesPresident · (815) 673-1182
Enumeration DateFebruary 6, 2008
NPI 1205014727 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities
Taxonomy Code315P00000X
License Licensed in IL · 0037192
Definition

An intermediate care facility providing services for individuals with intellectual disabilities.

300 W 12TH ST, Streator, IL 61364

Other Identifiers 1

Other0037192IL · State License Number

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Glenwood House Residential Care, Inc.'s NPI number?

The NPI number for Glenwood House Residential Care, Inc. is 1205014727. It was assigned to this organization in the NPPES registry on February 6, 2008.

Where is Glenwood House Residential Care, Inc. located?

Glenwood House Residential Care, Inc. is located at 300 W 12th St, Streator, IL 61364. The listed phone number is (815) 673-1182.

What is Glenwood House Residential Care, Inc.'s specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

When was this NPI record last updated?

The NPPES record for Glenwood House Residential Care, Inc. was last updated on February 6, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.