Active NPI
Gloria Home Care Agency and Support Staffing Inc
- Home Health Agency
- Valdosta, GA
National Provider Identifier
1114228665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 092-R-0566
- Legal business name
- GLORIA HOME CARE AGENCY AND SUPPORT STAFFING INC
- Practice address
- 428 Connell Rd
Valdosta, GA 31602-1481 - Phone
- (229) 249-7717
- Fax
- (229) 231-3030
- NPI assigned
- Nov 14, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gloria Jean Anderson
- Title
- Ceo
- Phone
- (229) 249-7717
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 092-R-0566 | GA | Primary |
| In Home Supportive Care Agency | 253Z00000X | 092-R-0566 | GA |
Addresses
Primary practice location
428 Connell Rd
Valdosta, GA 31602-1481
Mailing address
428 Connell Rd
Valdosta, GA 31602-1481
Phone (229) 249-7717
National Provider Directory
National Provider DirectoryLocations
428 Connell Rd
Valdosta, GA 31602
Phone (229) 245-1281
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1289692800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1650585600000",
"number": "1114228665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "428 CONNELL RD",
"city": "VALDOSTA",
"state": "GA",
"postal_code": "316021481",
"telephone_number": "229-249-7717",
"fax_number": "229-231-3030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "428 CONNELL RD",
"city": "VALDOSTA",
"state": "GA",
"postal_code": "316021481",
"telephone_number": "229-249-7717",
"fax_number": "229-231-3030"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GLORIA HOME CARE AGENCY AND SUPPORT STAFFING INC",
"organizational_subpart": "NO",
"enumeration_date": "2010-11-14",
"last_updated": "2022-04-22",
"certification_date": "2022-04-22",
"status": "A",
"authorized_official_last_name": "ANDERSON",
"authorized_official_first_name": "GLORIA",
"authorized_official_middle_name": "JEAN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "229-249-7717"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "GA",
"license": "092-R-0566",
"primary": true
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "GA",
"license": "092-R-0566",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Valdosta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.