Active NPI
Glory Health Center
- Community/Behavioral Health Agency
- Baltimore, MD
National Provider Identifier
1447388632
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 Center
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Baltimore, MD
- NPI 1073532149
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.