Glen Oaks Assisting Living Home

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

121001 Issued in TX

Legal business name

GLEN OAKS ASSISTING LIVING HOME

Practice address

905 Misty Glen LN
Dallas, TX 75232-1609

Phone

(214) 374-1830

NPI assigned

Jul 22, 2008

Organization subpart

No

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

Authorized official

Name

Rose Jallow

Title

Manager

Phone

(214) 374-1830

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1216684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216684800000",
    "number": "1578728374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 MISTY GLEN LN",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752321609",
            "telephone_number": "214-374-1830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 MISTY GLEN LN",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752321609",
            "telephone_number": "214-374-1830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLEN OAKS ASSISTING LIVING HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-22",
        "last_updated": "2008-07-22",
        "status": "A",
        "authorized_official_last_name": "JALLOW",
        "authorized_official_first_name": "ROSE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "214-374-1830"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "TX",
            "license": "121001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karey Ann Gleason, CRNA
• Sally Elizabeth Gleason, LCSW-S
• Melanie Leigh Gleich, NP
• Glen Creek Surgical Partners, PLLC
• Glen Lakes OB GYN PA
• Glenn J Wilcox (Dallas Foot Center)
• Abby Patricia Glenn
• Catherine Lorraine Glenn, REGISTERED NURSE
• Connie Eilene Glenn, COTA
• Deborah Ann Glenn, NURSE PRACTITIONER

• Health Maintenance Organization in Dallas, TX
• Providers in Dallas, TX by specialty
• Health Maintenance Organization in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2008; 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.