Glory Home Health, Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

381828 Issued in MN

Legal business name

GLORY HOME HEALTH, INC

Practice address

1913 Broadway St NE Ste 100
Minneapolis, MN 55413-2627

Phone

(612) 354-7791

Fax

(612) 886-2567

NPI assigned

Jul 17, 2017

Last updated

Oct 11, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nasro Mohamed, RN

Title

Administrator

Phone

(612) 707-0905

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1500249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539216000000",
    "number": "1285157768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1913 BROADWAY ST NE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554132627",
            "telephone_number": "612-354-7791",
            "fax_number": "612-886-2567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1913 BROADWAY ST NE STE 100",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554132627",
            "telephone_number": "612-354-7791",
            "fax_number": "612-886-2567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLORY HOME HEALTH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-17",
        "last_updated": "2018-10-11",
        "status": "A",
        "authorized_official_last_name": "MOHAMED",
        "authorized_official_first_name": "NASRO",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "612-707-0905",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": "381828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Home Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.