Glory Health, LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

GLORY HEALTH, LLC

Practice address

23077 Greenfield Rd Ste 222
Southfield, MI 48075-3745

Phone

(248) 805-2000

Fax

(888) 283-9115

NPI assigned

Mar 1, 2018

Organization subpart

No

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

Authorized official

Name

Helen Blicharz

Title

Owner

Phone

(248) 805-2000

Specialties & licenses 4

Addresses

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

{
    "created_epoch": "1519862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520294400000",
    "number": "1215439674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39694 ROCKCREST LN",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481683965",
            "telephone_number": "248-805-2000",
            "fax_number": "888-283-9115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23077 GREENFIELD RD STE 222",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480753745",
            "telephone_number": "248-805-2000",
            "fax_number": "888-283-9115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLORY HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-01",
        "last_updated": "2018-03-06",
        "status": "A",
        "authorized_official_last_name": "BLICHARZ",
        "authorized_official_first_name": "HELEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-805-2000"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0402X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Global Urgent Care
• Globalmed Diagnostics Inc
• Jay H Globerson, M.D.
• Cassondra Gloden
• Glory Adult Day Program
• Michelle Glory-Ejoyokah
• Antajah Tynique Glover
• Jimmia Glover
• Julie Glover
• Jerry Glowniak, MD

• General Practice Physician in Southfield, MI
• Providers in Southfield, MI by specialty
• General Practice Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2018; 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.