Organization Active NPI

Gloryland Health Services Inc.

  • Home Health Agency
  • Houston, TX
National Provider Identifier
1053648295
Registry record updated Oct 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
GLORYLAND HEALTH SERVICES INC.
Practice address
9806 Darby Mill LN
Houston, TX 77095-5050
Phone
(713) 231-4877
Fax
(281) 859-4402
NPI assigned
Nov 9, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2022

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

Authorized official

Name
Mrs. Edith Ocheze UgboajaNPI 1548643695
Title
Administrator
Phone
(713) 231-4877

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
Nursing Care Agency 251J00000X

Addresses

Primary practice location

9806 Darby Mill LN
Houston, TX 77095-5050

Mailing address

9806 Darby Mill LN
Houston, TX 77095-5050
Phone (713) 231-4877

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101130000941 TX Part A Provider - Home Health Agency 7517153794 Practice locations: Houston, TX

Home health agency certification: CCN 747697

Legal name
GLORYLAND HEALTH SERVICES INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Mar 1, 2012
Last certification
Dec 17, 2020
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Sep 24, 2009 in TX
Enrollment address
9806 Darby Mill Lane
Houston, TX 77095-5050

Care Compare: Home health agency

Medicare Care Compare
Listed as
Gloryland Health Services IncCCN 747697
Ownership
Proprietary
Certified
Mar 1, 2012
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2013522Gloryland Health Services Inc9806 Darby Mill LN, Houston, TX 77095Certificate of waiverSep 20, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Edith Ugboaja Individual 5% Or Greater Direct Ownership Interest Jun 29, 2010
W-2 Managing Employee Jun 29, 2010

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1257724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664841600000",
    "number": "1053648295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9806 DARBY MILL LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770955050",
            "telephone_number": "713-231-4877",
            "fax_number": "281-859-4402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9806 DARBY MILL LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770955050",
            "telephone_number": "713-231-4877",
            "fax_number": "281-859-4402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLORYLAND HEALTH SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-09",
        "last_updated": "2022-10-04",
        "certification_date": "2022-10-04",
        "status": "A",
        "authorized_official_last_name": "UGBOAJA",
        "authorized_official_first_name": "EDITH",
        "authorized_official_middle_name": "OCHEZE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "713-231-4877",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.