Glendale Assisted Living

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

GLENDALE ASSISTED LIVING

Practice address

430 N Frederick
Cape Girardeau, MO 63701

Phone

(573) 334-2662

Fax

(573) 339-7541

NPI assigned

Feb 5, 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

Administrator

Phone

(573) 334-2662

Specialties & licenses 1

Addresses

Other names 1

• Frederick St Manor Maple Crest Manor Doing business as

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 1114100146
  NPD tax ID

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194864447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 N FREDERICK",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "63701",
            "telephone_number": "573-334-2662",
            "fax_number": "573-339-7541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 N FREDERICK",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "63701",
            "telephone_number": "573-334-2662",
            "fax_number": "573-339-7541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENDALE ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COMPTON",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "573-334-2662",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Frederick St Manor Maple Crest Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• 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.
• Juan Gonzalez, MD

• 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 Aug 22, 2020; 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.