Provider Demographics
NPI:1174524458
Name:GLENAIRE, INC.
Entity type:Organization
Organization Name:GLENAIRE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MS
Authorized Official - First Name:JULIA
Authorized Official - Middle Name:F
Authorized Official - Last Name:HANOVER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-886-6553
Mailing Address - Street 1:4000 GLENAIRE CIR
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27511-3884
Mailing Address - Country:US
Mailing Address - Phone:919-460-8095
Mailing Address - Fax:919-467-0844
Practice Address - Street 1:4000 GLENAIRE CIR
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27511-3884
Practice Address - Country:US
Practice Address - Phone:919-460-8095
Practice Address - Fax:919-467-0844
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:THE PRESBYTERIAN HOMES, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2005-08-09
Last Update Date:2011-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC0082TOtherBCBSNC
NC3405445Medicaid
NC3405445Medicaid