Active NPI
Glorious Moments Home Health Services, LLC
- Home Health Agency
- Saint Louis, MO
National Provider Identifier
1003406687
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- GLORIOUS MOMENTS HOME HEALTH SERVICES, LLC
- Practice address
- 11897 Benham Rd Ste 200
Saint Louis, MO 63138-1300 - Phone
- (314) 527-3014
- NPI assigned
- Jan 19, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rose Mary Bond
- Title
- Executive Officer
- Phone
- (314) 527-3014
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
11897 Benham Rd Ste 200
Saint Louis, MO 63138-1300
Mailing address
11897 Benham Rd Ste 200
Saint Louis, MO 63138-1300
Phone (314) 527-3014
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | gloriousmoments212@gmail.com |
National Provider Directory
National Provider DirectoryLocations
11897 Benham Rd
Ste 200
Saint Louis, MO 63138
Phone (314) 527-3014
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611014400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1611014400000",
"number": "1003406687",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11897 BENHAM RD STE 200",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631381300",
"telephone_number": "314-527-3014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11897 BENHAM RD STE 200",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631381300",
"telephone_number": "314-527-3014"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GLORIOUS MOMENTS HOME HEALTH SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-01-19",
"last_updated": "2021-01-19",
"certification_date": "2021-01-19",
"status": "A",
"authorized_official_last_name": "BOND",
"authorized_official_first_name": "ROSE",
"authorized_official_middle_name": "MARY",
"authorized_official_title_or_position": "EXECUTIVE OFFICER",
"authorized_official_telephone_number": "314-527-3014"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "gloriousmoments212@gmail.com",
"affiliation": "N",
"address_1": "11897 Benham Rd Ste 200",
"city": "Saint Louis",
"state": "MO",
"country_code": "US",
"postal_code": "631381300",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.