Individual provider Active NPI

Gloria Rodgers

  • Home Health Aide
  • Cleveland, OH
National Provider Identifier
1124612437
Registry record updated Aug 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
Practice address
3167 Fulton Rd Ste 107
Cleveland, OH 44109-1466
Phone
(762) 323-1414
NPI assigned
Feb 26, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X Primary
Phlebotomy Technician 246RP1900X

Addresses

Primary practice location

3167 Fulton Rd Ste 107
Cleveland, OH 44109-1466

Mailing address

1445 Woodmont LN NW Ste 3334
Atlanta, GA 30318-2866
Phone (762) 323-1414

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Glory'S United Services, LLC CurrentSince Jun 18, 2023 Accepting new patients
Divine Trinity Mobile Lab & CPR Services, LLC Phlebotomy Current Accepting new patients

Locations

1445 Woodmont Ln NW
Atlanta, GA 30318
Phone (678) 921-9969

3167 Fulton Rd
Ste 107
Cleveland, OH 44109
Phone (470) 800-5251

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1614297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723075200000",
    "number": "1124612437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1445 WOODMONT LN NW STE 3334",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303182866",
            "telephone_number": "762-323-1414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3167 FULTON RD STE 107",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441091466",
            "telephone_number": "762-323-1414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODGERS",
        "first_name": "GLORIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-26",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "246RP1900X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2024; 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.