Glory Professional Home Services Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

GLORY PROFESSIONAL HOME SERVICES INC

Practice address

6781 Londonderry Way Ste 5
Union City, GA 30291-2094

Phone

(770) 906-7421

Fax

(770) 626-3164

NPI assigned

Aug 6, 2020

Organization subpart

No

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

Authorized official

Name

Elizabeth E Obiekwe

Title

Ceo - RN

Phone

(770) 906-7421

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1596672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596672000000",
    "number": "1376153049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6781 LONDONDERRY WAY STE 5",
            "city": "UNION CITY",
            "state": "GA",
            "postal_code": "302912094",
            "telephone_number": "770-906-7421",
            "fax_number": "770-626-3164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6781 LONDONDERRY WAY STE 5",
            "city": "UNION CITY",
            "state": "GA",
            "postal_code": "302912094",
            "telephone_number": "770-906-7421",
            "fax_number": "770-626-3164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLORY PROFESSIONAL HOME SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-06",
        "last_updated": "2020-08-06",
        "certification_date": "2020-08-06",
        "status": "A",
        "authorized_official_last_name": "OBIEKWE",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CEO - RN",
        "authorized_official_telephone_number": "770-906-7421"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHCP010418",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Greater Atlanta OBGYN Associates

• Home Health Agency in Union City, GA
• Providers in Union City, GA by specialty
• Home Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2020; 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.