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INDYWOOD GLEN, LLC
NPI 1225377534
Assisted Living Facility in Greenwood, MS

Active since February 06, 2013
1416 ERIE ST, GREENWOOD, MS 38930(662) 455-3878 Get Directions Write a Review

NPPES record last updated: February 6, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Indywood Glen, Llc NPPES

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

INDYWOOD GLEN, LLC (NPI 1225377534) is a healthcare organization registered as an assisted living facility in Greenwood, Mississippi and active in the NPI registry since February 2013. The organization lists Sharon Ayres Harvey, Acting Manager, as its authorized official.

NPPES Registry Identity

NPI1225377534
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameINDYWOOD GLEN, LLC
Location Address1416 ERIE STGreenwood, MS 38930-2103
Mailing Address1416 Erie StGreenwood, MS 38930-2103
Phone(662) 455-3878
Organization SubpartNo
Authorized OfficialSharon Ayres HarveyActing Manager · (662) 455-3878
Enumeration DateFebruary 6, 2013
✔ NPI 1225377534 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in MS · 927
Definition
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.
1416 ERIE ST, Greenwood, MS 38930
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Other Identifiers 1

Medicaid03907712MS

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 Indywood Glen, LLC's NPI number?

The NPI number for Indywood Glen, LLC is 1225377534. It was assigned to this organization in the NPPES registry on February 6, 2013.

Where is Indywood Glen, LLC located?

Indywood Glen, LLC is located at 1416 Erie St, Greenwood, MS 38930. The listed phone number is (662) 455-3878.

What is Indywood Glen, LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Indywood Glen, LLC was last updated on February 6, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.