Glory Psychiatric Center, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

P04000046349 Issued in FL

Legal business name

GLORY PSYCHIATRIC CENTER, INC.

Practice address

2316 Hillcrest St
Orlando, FL 32803-4900

Phone

(407) 894-6980

Fax

(407) 894-6982

NPI assigned

Jun 11, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Stella Banag Montes, M.D.

Title

President

Phone

(407) 894-6980

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1244678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244678400000",
    "number": "1366679805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2316 HILLCREST ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328034900",
            "telephone_number": "407-894-6980",
            "fax_number": "407-894-6982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2316 HILLCREST ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328034900",
            "telephone_number": "407-894-6980",
            "fax_number": "407-894-6982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLORY PSYCHIATRIC CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-11",
        "last_updated": "2009-06-11",
        "status": "A",
        "authorized_official_last_name": "MONTES",
        "authorized_official_first_name": "STELLA",
        "authorized_official_middle_name": "BANAG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-894-6980",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "P04000046349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Glory Assisted ;Living Facility
• Glory Psychiatric Center
• Charles Richard Glosson, D.M.D.
• Charles F Gloster, NP-C
• Brittany Glover
• Danielle Glover, LCSW
• Emily Glover, DPT

• Home Health Agency in Orlando, FL
• Providers in Orlando, FL by specialty
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2009; 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.