Organization Active NPI

Glory Health Care and in Home Services

  • Home Health Agency
  • Stockbridge, GA
National Provider Identifier
1073176491
Registry record updated Apr 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
GLORY HEALTH CARE AND IN HOME SERVICES
Practice address
85 Shea LN
Stockbridge, GA 30281-1261
Phone
(404) 992-0048
Fax
(866) 654-7302
NPI assigned
Apr 22, 2019
Organization subpart
Yes
Parent organization
MAAS INVESTMENTS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 22, 2019

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

Authorized official

Name
Mr. Mark Emmanuel Abere
Title
Administrator
Phone
(404) 992-0048

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

85 Shea LN
Stockbridge, GA 30281-1261

Mailing address

85 Shea LN
Stockbridge, GA 30281-1261
Phone (404) 992-0048

National Provider Directory

National Provider Directory
Part of
Glory Health Care and in Home Services

NPI Registry JSON

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

{
    "created_epoch": "1555891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555891200000",
    "number": "1073176491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 SHEA LN",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302811261",
            "telephone_number": "404-992-0048",
            "fax_number": "866-654-7302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 SHEA LN",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302811261",
            "telephone_number": "404-992-0048",
            "fax_number": "866-654-7302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLORY HEALTH CARE AND IN HOME SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MAAS INVESTMENTS, LLC",
        "enumeration_date": "2019-04-22",
        "last_updated": "2019-04-22",
        "status": "A",
        "authorized_official_last_name": "ABERE",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "EMMANUEL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "404-992-0048",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockbridge, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2019; 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.