Healthcare Provider Details

I. General information

NPI: 1336004407
Provider Name (Legal Business Name): THE GLEN AT HILAND MEADOWS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/19/2025
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

39 LONGVIEW DR
QUEENSBURY NY
12804-5935
US

IV. Provider business mailing address

39 LONGVIEW DR
QUEENSBURY NY
12804-5935
US

V. Phone/Fax

Practice location:
  • Phone: 518-832-7800
  • Fax: 518-832-7895
Mailing address:
  • Phone: 518-832-7800
  • Fax: 518-832-7895

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code311500000X
TaxonomyAlzheimer Center (Dementia Center)
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: ANDREA HEBERT
Title or Position: VICE PRESIDENT & EXECUTIVE DIRECTOR
Credential:
Phone: 518-832-7856