Organization Active NPI

Glosso Speech, Language and Educational SVCS, Inc.

  • Developmentally Disabled Services Day Training Agency
  • High Point, NC
National Provider Identifier
1619156072
Registry record updated Nov 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
GLOSSO SPEECH, LANGUAGE AND EDUCATIONAL SVCS, INC.
Practice address
1700 Deep River Rd
High Point, NC 27265-2568
Phone
(336) 889-0077
NPI assigned
Nov 1, 2007
Last updated
Nov 6, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2007

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

Authorized official

Name
Dr. Verlyn Moore Evans, ED.D.NPI 1417066036
Title
President
Phone
(336) 889-0077

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X NC Primary

Addresses

Primary practice location

1700 Deep River Rd
High Point, NC 27265-2568

Mailing address

PO Box 31
Jamestown, NC 27282-0031
Phone (336) 889-0077

Other identifiers 2

IdentifierTypeStateIssuer
8300018MedicaidNC
8300018KMedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Glosso Speech Language and Educational Services Inc2 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.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1193875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194307200000",
    "number": "1619156072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31",
            "city": "JAMESTOWN",
            "state": "NC",
            "postal_code": "272820031",
            "telephone_number": "336-889-0077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 DEEP RIVER RD",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272652568",
            "telephone_number": "336-889-0077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLOSSO SPEECH, LANGUAGE AND EDUCATIONAL SVCS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-01",
        "last_updated": "2007-11-06",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "VERLYN",
        "authorized_official_middle_name": "MOORE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "336-889-0077",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ED.D."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8300018",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8300018K",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in High Point, NC

Sources for this page

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