NPIMap

Organization Active NPI

Glory Divine Home Care, Inc.

  • Developmentally Disabled Services Day Training Agency
  • Napoleonville, LA
National Provider Identifier
1386766509
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
12144 Issued in LA
Legal business name
GLORY DIVINE HOME CARE, INC.
Practice address
4589 A Hwy 1
Napoleonville, LA 70390
Phone
(985) 369-4111
Fax
(985) 369-4110
NPI assigned
Apr 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Deddra W Holmes
Title
Administrator
Phone
(985) 369-4111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X 12144 LA Primary

Addresses

Primary practice location

4589 A Hwy 1
Napoleonville, LA 70390

Mailing address

PO Box 867
Napoleonville, LA 70390-0867
Phone (985) 369-4111

Other identifiers 1

IdentifierTypeStateIssuer
1597147OtherLAPROVIDER'S NUMBER

National Provider Directory

National Provider Directory
Tax ID family
Glory Divine Home Care Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4589 Highway 1
#A
Napoleonville, LA 70390
Phone (985) 369-4111

NPI Registry JSON

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386766509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 867",
            "city": "NAPOLEONVILLE",
            "state": "LA",
            "postal_code": "703900867",
            "telephone_number": "985-369-4111",
            "fax_number": "985-369-4110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4589 A HWY 1",
            "city": "NAPOLEONVILLE",
            "state": "LA",
            "postal_code": "70390",
            "telephone_number": "985-369-4111",
            "fax_number": "985-369-4110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLORY DIVINE HOME CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOLMES",
        "authorized_official_first_name": "DEDDRA",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "985-369-4111"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "LA",
            "license": "12144",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER'S NUMBER",
            "identifier": "1597147",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Napoleonville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.