Organization Active NPI

Glow of Happiness LLC

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Waco, TX
National Provider Identifier
1003180977
Registry record updated Oct 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
GLOW OF HAPPINESS LLC
Practice address
99 River Ridge Dr
Waco, TX 76705-1758
Phone
(254) 644-0128
NPI assigned
Feb 23, 2012
Last updated
Oct 14, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Deserea M Morgan
Title
Chief Executive Officer
Phone
(254) 644-0128

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X Primary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X 001021396 TX

Addresses

Primary practice location

99 River Ridge Dr
Waco, TX 76705-1758

Mailing address

99 River Ridge Dr
Waco, TX 76705-1758
Phone (254) 644-0128

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1329955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413244800000",
    "number": "1003180977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 RIVER RIDGE DR",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767051758",
            "telephone_number": "254-644-0128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 RIVER RIDGE DR",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767051758",
            "telephone_number": "254-644-0128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLOW OF HAPPINESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-23",
        "last_updated": "2014-10-14",
        "status": "A",
        "authorized_official_last_name": "MORGAN",
        "authorized_official_first_name": "DESEREA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "254-644-0128"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "TX",
            "license": "001021396",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.