Glory Homes, Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

GLORY HOMES, INC

Practice address

15045 Brucite Rd
Victorville, CA 92394-0541

Phone

(760) 867-3267

NPI assigned

Jul 9, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Peter Adewumi

Title

Ceo/President

Phone

(310) 407-9954

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1625788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625788800000",
    "number": "1346811379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15168 WISTERIA LN",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923949543",
            "telephone_number": "310-407-9954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15045 BRUCITE RD",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923940541",
            "telephone_number": "760-867-3267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLORY HOMES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-09",
        "last_updated": "2021-07-09",
        "certification_date": "2021-07-09",
        "status": "A",
        "authorized_official_last_name": "ADEWUMI",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "310-407-9954",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• GL Medial
• Christal Lynn Glaser, DC
• Dominic Glass
• Glenn P. Matney, M.D., Inc.
• Glenn P. Wedeen MD a Medical Corporation
• Curtis Godfrey
• Golden Age Medical Group, Inc
• Golden Years Elderly Care, Inc.
• Urbana Carmen Golden
• Emily Gomes

• Assisted Living Facility in Victorville, CA
• Providers in Victorville, CA by specialty
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2021; 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.