Eddie Marie Glover

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

148669 Issued in TX

Legal business name

EDDIE MARIE GLOVER

Practice address

12349 Johnson Rd
Manor, TX 78653-3620

Phone

(512) 461-8158

Fax

(888) 311-7675

NPI assigned

Apr 20, 2018

Organization subpart

No

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

Authorized official

Name

Ms. Eddie Marie Glover

Title

Managing Director

Phone

(512) 461-8158

Specialties & licenses 1

Addresses

Other names 1

• Glovers Foster Home Doing business as

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

{
    "created_epoch": "1524182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524182400000",
    "number": "1952898371",
    "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": "786533620",
            "telephone_number": "512-461-8158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12349 JOHNSON RD",
            "city": "MANOR",
            "state": "TX",
            "postal_code": "786533620",
            "telephone_number": "512-461-8158",
            "fax_number": "888-311-7675"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6208 Haney Dr",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787232049",
            "country_code": "US",
            "telephone_number": "512-599-1200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EDDIE MARIE GLOVER",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-20",
        "last_updated": "2018-04-20",
        "status": "A",
        "authorized_official_last_name": "GLOVER",
        "authorized_official_first_name": "EDDIE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "512-461-8158",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "TX",
            "license": "148669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Glovers Foster Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rhea Dsouza
• Toinette Leigh Dubose
• Olivia Rose Dubray
• Andriana Duran, MS, LPC
• Elizabeth Ann Dyson, LCSW
• Kevin Edwards Jr.
• Chinwe Oyeronke Efuribe, M.D.
• Elgin Family Orthodontics, PLLC
• Elgin Orthodontics, PLLC
• Enamel Dentistry Manor, PLLC

• Assisted Living Facility in Manor, TX
• Providers in Manor, TX by specialty
• Assisted Living Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2018; 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.