Realm of Glory Home Care Agency LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

REALM OF GLORY HOME CARE AGENCY LLC

Practice address

4015 Evergreen Rd
Allentown, PA 18104-4451

Phone

(646) 591-0056

NPI assigned

Aug 24, 2021

Organization subpart

No

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

Authorized official

Name

Elsie Isidore

Title

President

Phone

(646) 591-0056

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1629763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629763200000",
    "number": "1063189496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4015 EVERGREEN RD",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181044451",
            "telephone_number": "646-591-0056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4015 EVERGREEN RD",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181044451",
            "telephone_number": "646-591-0056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REALM OF GLORY HOME CARE AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-24",
        "last_updated": "2021-08-24",
        "certification_date": "2021-08-24",
        "status": "A",
        "authorized_official_last_name": "ISIDORE",
        "authorized_official_first_name": "ELSIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "646-591-0056"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark A Ravago
• Sharon Ravenelle, CRNP
• Keith F Rawlinson, MD
• Timarie Rayburg, DO
• Ashkon Razavi, MD
• Megan Nicole Rebert
• Tasha Reck, AUD
• Reclaim Refuge
• Recover Psychotherapy & Counseling Servicesllc
• Recovercare, LLC

• In Home Supportive Care Agency in Allentown, PA
• Providers in Allentown, PA by specialty
• In Home Supportive Care Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.