Healthcare Provider Details

I. General information

NPI: 1174524458
Provider Name (Legal Business Name): GLENAIRE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/09/2005
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4000 GLENAIRE CIR
CARY NC
27511-3884
US

IV. Provider business mailing address

4000 GLENAIRE CIR
CARY NC
27511-3884
US

V. Phone/Fax

Practice location:
  • Phone: 919-460-8095
  • Fax: 919-467-0844
Mailing address:
  • Phone: 919-460-8095
  • Fax: 919-467-0844

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: TIMOTHY JOHN WEBSTER
Title or Position: CEO
Credential:
Phone: 336-458-9112