NPIMap

Organization Active NPI

Glorious Global Outreach

  • Assisted Living Facility
  • Romulus, MI
National Provider Identifier
1144523903
Registry record updated Dec 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
GLORIOUS GLOBAL OUTREACH
Practice address
38025 Herman St
Romulus, MI 48174-1365
Phone
(313) 740-1653
NPI assigned
Dec 15, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2010

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

Authorized official

Name
Miss Beverly Jean Rozier
Title
Owner
Phone
(313) 740-1653

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X MI Primary
Assisted Living Facility (Mental Illness) 3104A0625X AS8200305818 MI
Mental Illness Intermediate Care Facility 310500000X AS8200305818 MI
Adult Care Home Facility 311ZA0620X AS8200305818 MI
Intellectual Disabilities Intermediate Care Facility 315P00000X AS8200305818 MI

Addresses

Primary practice location

38025 Herman St
Romulus, MI 48174-1365

Mailing address

38025 Herman St
Romulus, MI 48174-1365
Phone (313) 740-1653

Other identifiers 4

IdentifierTypeStateIssuer
310400000XMedicaidMI
310500000XMedicaidMI
315900000XMedicaidMI
101YP1600XMedicaidMI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1292371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293062400000",
    "number": "1144523903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38025 HERMAN ST",
            "city": "ROMULUS",
            "state": "MI",
            "postal_code": "481741365",
            "telephone_number": "313-740-1653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38025 HERMAN ST",
            "city": "ROMULUS",
            "state": "MI",
            "postal_code": "481741365",
            "telephone_number": "313-740-1653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLORIOUS GLOBAL OUTREACH",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-15",
        "last_updated": "2010-12-23",
        "status": "A",
        "authorized_official_last_name": "ROZIER",
        "authorized_official_first_name": "BEVERLY",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-740-1653",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MI",
            "license": null,
            "primary": true
        },
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "MI",
            "license": "AS8200305818",
            "primary": false
        },
        {
            "code": "310500000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Mental Illness",
            "state": "MI",
            "license": "AS8200305818",
            "primary": false
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "MI",
            "license": "AS8200305818",
            "primary": false
        },
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "MI",
            "license": "AS8200305818",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "310400000X",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "310500000X",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "315900000X",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101YP1600X",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Romulus, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2010; 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.