Organization Active NPI

Eden's Glory

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Greenville, IL
National Provider Identifier
1972417327
Registry record updated Oct 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
EDEN'S GLORY
Practice address
214 N 3Rd St
Greenville, IL 62246-1004
Phone
(314) 339-8783
NPI assigned
Oct 1, 2026
Last updated
Oct 1, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2026

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

Authorized official

Name
Andrea Loeh
Title
Finance Manager
Phone
(618) 973-4911

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary

Addresses

Primary practice location

214 N 3Rd St
Greenville, IL 62246-1004

Mailing address

214 N 3Rd St
Greenville, IL 62246-1004
Phone (314) 339-8783

Other names 1

  • Covenant Place Other name

NPI Registry JSON

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

{
    "created_epoch": "1790812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790812800000",
    "number": "1972417327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 N 3RD ST",
            "city": "GREENVILLE",
            "state": "IL",
            "postal_code": "622461004",
            "telephone_number": "314-339-8783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 N 3RD ST",
            "city": "GREENVILLE",
            "state": "IL",
            "postal_code": "622461004",
            "telephone_number": "314-339-8783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDEN'S GLORY",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-01",
        "last_updated": "2026-10-01",
        "certification_date": "2026-09-21",
        "status": "A",
        "authorized_official_last_name": "LOEH",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "FINANCE MANAGER",
        "authorized_official_telephone_number": "618-973-4911"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Covenant Place",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Greenville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.