Organization Active NPI

Glorious Moments Home Health Services, LLC

  • Home Health Agency
  • Saint Louis, MO
National Provider Identifier
1003406687
Registry record updated Jan 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Jan 19, 2021

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)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
CONNECT URL gloriousmoments212@gmail.com

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.