Glorious Health Services

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

GLORIOUS HEALTH SERVICES

Practice address

1703 Lawrenceville Rd Apt 3
Lawrence, NJ 08648-2951

Phone

(609) 403-8366

NPI assigned

Aug 1, 2018

Organization subpart

No

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

Authorized official

Name

Jacquiline Owiti

Title

Medicaid Liaison

Phone

(609) 403-8366

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1533081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533081600000",
    "number": "1407334386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1703 LAWRENCEVILLE RD APT 3",
            "city": "LAWRENCE",
            "state": "NJ",
            "postal_code": "086482951",
            "telephone_number": "609-403-8366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1703 LAWRENCEVILLE RD APT 3",
            "city": "LAWRENCE",
            "state": "NJ",
            "postal_code": "086482951",
            "telephone_number": "609-403-8366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLORIOUS HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-01",
        "last_updated": "2018-08-01",
        "status": "A",
        "authorized_official_last_name": "OWITI",
        "authorized_official_first_name": "JACQUILINE",
        "authorized_official_title_or_position": "MEDICAID LIAISON",
        "authorized_official_telephone_number": "609-403-8366"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Lawrence, NJ
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2018; 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.