TOMMY GLAZE


Address: 9519 Eaglewood Glen Trl, Houston, TX 77083-6596
Phone: 8322454571

TOMMY GLAZE (NPI# 1902267693) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1902267693
Entity Type Individual
Full Name TOMMY GLAZE
Practice Address 9519 Eaglewood Glen Trl
Houston
TX 77083-6596
Practice Telephone 8322454571
Practice Fax Number 8326649083
Mailing Telephone 8322454571
Mailing Fax Number 8326649083
Enumeration Date 2016-03-09
Last Update Date 2016-03-09
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 311Z00000X Custodial Care Facility Nursing & Custodial Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
TX COMMUNITY HEALTH SERVICES 004010X096A1 01

Office Location

Street Address 9519 EAGLEWOOD GLEN TRL
City HOUSTON
State TX
Zip Code 77083-6596

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1457832537 Elizabeth Nwakaego Nwosu Registered Nurse 4125 San Dimas Drive, Houston, TX 77083 2018-08-27
1003397423 Chawntel Rene Walker-carter Licensed Practical Nurse 7514 San Dimas Sr, Houston, TX 77083 2018-08-23
1508343773 Martin Nguyen Dentist 9203 S Texas Highway 6, Suite #114, Houston, TX 77083 2018-07-20
1477054930 Joe Jacob Registered Nurse 8231 Sonesta Point Lane, Houston, TX 77083 2018-02-21
1730692393 Martha Jaimes Case Manager/Care Coordinator 7515 Tremendo Dr, Houston, TX 77083 2017-11-06
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Taxonomy Information

Taxonomy Code 311Z00000X
Grouping Nursing & Custodial Care Facilities
Classification Custodial Care Facility

Taxonomy Definition

A facility providing care that serves to assist an individual in the activities of daily living, such as assistance in walking, getting in and out of bed, bathing, dressing, feeding, and using the toilet, preparation of special diets, and supervision of medication that usually can be self-administered. Custodial care essentially is personal care that does not require the continuing attention of trained medical or paramedical personnel.
Notes: Source: Paraphrased from Section 3159 A3 of the Medicare Intermediary Manual.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1396399903 Nakisha Heathmon Custodial Care Facility 2120 Hazlitt Dr, Houston, TX 77032-2060 2019-07-31
1639614225 Fmc Home Health Care Custodial Care Facility 7322 Southwest Fwy # I-630f, Houston, TX 77074-2010 2017-01-05
1295106649 Senior Citizens Bureau Custodial Care Facility 9406 Fern Wood Frst, Houston, TX 77040-6892 2015-10-12
1770980229 Adolbi Care Custodial Care Facility 3737 Mangum Rd, Houston, TX 77092-5407 2014-11-28
1043617624 Endless Opportunities, Inc. Custodial Care Facility 11144 Fuqua Street, 1123, Houston, TX 77089-2650 2014-11-26
1932469418 Care At Neicy's Home Custodial Care Facility 9533 Ashville Dr, Houston, TX 77051-3255 2012-05-18
1215230305 Loving Hands Adult Day Care LLC Custodial Care Facility 19914 Tunham Trl, Houston, TX 77073-6196 2010-12-10
1669788022 Comfortvines Homehealth Custodial Care Facility 3303 Fm 1960 Rd W Ste 380, Houston, TX 77068-3611 2010-08-24
1871757625 Viacell Int'l LLC Custodial Care Facility 4263 Hambledon Village Dr, Houston, TX 77014-1844 2008-07-10
1952576142 Amcor Community Healthcare Inc Custodial Care Facility 6300 Hillcroft St Ste 306, Houston, TX 77081-3008 2008-04-28
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Competitor

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City HOUSTON
Zip Code 77083

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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