Organization Active NPI

GLC Health Services Inc

  • Home Health Agency
  • Chamblee, GA
National Provider Identifier
1053747048
Registry record updated Apr 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
067-R-1000 Issued in GA
Legal business name
GLC HEALTH SERVICES INC
Practice address
5522 New Peachtree Rd Ste 120
Chamblee, GA 30341-2526
Phone
(770) 417-8188
Fax
(770) 234-6694
NPI assigned
Sep 23, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2018

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

Authorized official

Name
Yen C Jan
Title
Administrator
Phone
(770) 417-8188

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 067-R-1000 GA Primary

Addresses

Primary practice location

5522 New Peachtree Rd Ste 120
Chamblee, GA 30341-2526

Mailing address

5522 New Peachtree Rd Ste 120
Atlanta, GA 30341-2526

Other identifiers 1

IdentifierTypeStateIssuer
003141521AMedicaidGA

National Provider Directory

National Provider Directory

Locations

5522 New Peachtree Rd
Ste 120
Chamblee, GA 30341
Phone (770) 417-8188

NPI Registry JSON

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

{
    "created_epoch": "1379894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524009600000",
    "number": "1053747048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5522 NEW PEACHTREE RD STE 120",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303412526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5522 NEW PEACHTREE RD STE 120",
            "city": "CHAMBLEE",
            "state": "GA",
            "postal_code": "303412526",
            "telephone_number": "770-417-8188",
            "fax_number": "770-234-6694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLC HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-23",
        "last_updated": "2018-04-18",
        "status": "A",
        "authorized_official_last_name": "JAN",
        "authorized_official_first_name": "YEN C",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "770-417-8188"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "GA",
            "license": "067-R-1000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003141521A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chamblee, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2018; 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.