Active NPI
Eddie Marie Glover
- Adult Companion
- Manor, TX
National Provider Identifier
1063537942
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Companion
- Practice address
- 12349 Johnson Rd
Manor, TX 78653 - Phone
- (512) 278-0354
- NPI assigned
- Mar 20, 2007
- Last updated
- May 25, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Companion | 372600000X | NU | Primary | |
| Day Training/Habilitation Specialist | 373H00000X | NU |
Addresses
Primary practice location
12349 Johnson Rd
Manor, TX 78653
Mailing address
12349 Johnson Rd
Manor, TX 78653
Phone (512) 278-0354
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1306281600000",
"number": "1063537942",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12349 JOHNSON RD",
"city": "MANOR",
"state": "TX",
"postal_code": "78653",
"telephone_number": "512-278-0354"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12349 JOHNSON RD",
"city": "MANOR",
"state": "TX",
"postal_code": "78653",
"telephone_number": "512-278-0354"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLOVER",
"first_name": "EDDIE",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-20",
"last_updated": "2011-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "372600000X",
"taxonomy_group": "",
"desc": "Adult Companion",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "373H00000X",
"taxonomy_group": "",
"desc": "Day Training/Habilitation Specialist",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Manor, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.