Ava Marie Silas Glover, HOME CARE PROVIDER

Primary specialty

Attendant Care ProviderTaxonomy code 3747A0650X

License

7511103237 Issued in CA

Practice address

1624 Canyon Rd Apt 39
Spring Valley, CA 91977-6620

Phone

(619) 871-5339

NPI assigned

Apr 6, 2018

Last updated

Apr 6, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1522972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522972800000",
    "number": "1043717069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1624 CANYON RD APT 39",
            "city": "SPRING VALLEY",
            "state": "CA",
            "postal_code": "919776620",
            "telephone_number": "619-871-5339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1624 CANYON RD APT 39",
            "city": "SPRING VALLEY",
            "state": "CA",
            "postal_code": "919776620",
            "telephone_number": "619-871-5339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILAS GLOVER",
        "first_name": "AVA",
        "middle_name": "MARIE",
        "credential": "HOME CARE PROVIDER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-06",
        "last_updated": "2018-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747A0650X",
            "taxonomy_group": "",
            "desc": "Technician, Attendant Care Provider",
            "state": "CA",
            "license": "7511103237",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NO MEDICATION GIVIN",
            "identifier": "36-4894631",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Senior Home Care Specialists LLC
• Sevak Medical Consultancy
• Noor Ayad Shaba
• Candice Dawn Sharron, DMD
• Michelle Joy Siazon, L.AC.
• Marie Ann Small
• Alexa Rae Smidt
• Alisha Smith
• Allison Smith
• Tonetta Marie Smith

• Attendant Care Provider in Spring Valley, CA
• Providers in Spring Valley, CA by specialty
• Attendant Care Provider in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2018; 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.