Organization Active NPI

Glory Healthcare

  • Home Health Agency
  • Van Nuys, CA
National Provider Identifier
1356000327
Registry record updated Dec 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
GLORY HEALTHCARE
Practice address
14545 Friar St Ste 244
Van Nuys, CA 91411-2397
Phone
(818) 633-3687
NPI assigned
Dec 16, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2021

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

Authorized official

Name
Tigran Shahmuradyan
Title
Ceo
Phone
(818) 633-3687

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

14545 Friar St Ste 244
Van Nuys, CA 91411-2397

Mailing address

14545 Friar St Ste 244
Van Nuys, CA 91411-2397

National Provider Directory

National Provider Directory

Locations

14545 Friar St
Ste 244
Van Nuys, CA 91411
Phone (818) 633-3687

NPI Registry JSON

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

{
    "created_epoch": "1639612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639612800000",
    "number": "1356000327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14545 FRIAR ST STE 244",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914112397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14545 FRIAR ST STE 244",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914112397",
            "telephone_number": "818-633-3687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLORY HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-16",
        "last_updated": "2021-12-16",
        "certification_date": "2021-12-16",
        "status": "A",
        "authorized_official_last_name": "SHAHMURADYAN",
        "authorized_official_first_name": "TIGRAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-633-3687"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.