Glendale Assisted Living

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

033782 Issued in MO

Legal business name

GLENDALE ASSISTED LIVING

Practice address

429 N Frederick St
Cape Girardeau, MO 63701-4834

Phone

(573) 334-2662

NPI assigned

Dec 13, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Teresa A Compton

Title

Administrators

Phone

(573) 334-2662

Specialties & licenses 1

Addresses

Tax ID family

Frederick St Manor Maple Crest Manor2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Glendale Assisted Living

  • Assisted Living Facility
  • Cape Girardeau, MO
  • NPI 1194864447
  NPD tax ID

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

{
    "created_epoch": "1197504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197504000000",
    "number": "1114100146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "429 N FREDERICK ST",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637014834",
            "telephone_number": "573-334-2662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "429 N FREDERICK ST",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637014834",
            "telephone_number": "573-334-2662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENDALE ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-13",
        "last_updated": "2007-12-13",
        "status": "A",
        "authorized_official_last_name": "COMPTON",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATORS",
        "authorized_official_telephone_number": "573-334-2662",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MO",
            "license": "033782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Givens Chiropractic LLC
• Michael L Givens, D.C.
• Jennifer S Giza, DO
• Dennis N Glascock, DO
• Michael Anthony Glastetter II, DNP
• Glendale Assisted Living
• Byron Cornelius Glenn, M.D.
• Hannah Marie Glueck
• Andrew Godbey, M.D.
• Melissa Goehman, P.T.

• Assisted Living Facility in Cape Girardeau, MO
• Providers in Cape Girardeau, MO by specialty
• Assisted Living Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2007; 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.