Organization Active NPI

Glory Health Center

  • Community/Behavioral Health Agency
  • Baltimore, MD
National Provider Identifier
1447388632
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
GLORY HEALTH CENTER
Practice address
4705 Harford Rd
Baltimore, MD 21214-3205
Phone
(410) 444-0779
NPI assigned
Mar 1, 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
Mr. Samson Tokun Ajayi
Title
President
Phone
(410) 444-0779

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X MD Primary

Addresses

Primary practice location

4705 Harford Rd
Baltimore, MD 21214-3205

Mailing address

4705 Harford Rd
Baltimore, MD 21214-3205

National Provider Directory

National Provider Directory
Tax ID family
Glory Health Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

4705 Harford Rd
Baltimore, MD 21214
Phone (240) 593-2530

NPI Registry JSON

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447388632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4705 HARFORD RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212143205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4705 HARFORD RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212143205",
            "telephone_number": "410-444-0779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLORY HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AJAYI",
        "authorized_official_first_name": "SAMSON",
        "authorized_official_middle_name": "TOKUN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-444-0779",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

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.