Organization Active NPI

Gloryland Health Services, LLC

  • Home Health Agency
  • Hopkins, MN
National Provider Identifier
1457533606
Registry record updated Nov 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
GLORYLAND HEALTH SERVICES, LLC
Practice address
750 2ND St NE Ste 382
Hopkins, MN 55343-8587
Phone
(952) 224-0777
Fax
(952) 224-0776
NPI assigned
Nov 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2007

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

Authorized official

Name
Dedra Thomas
Title
Human Resources/Marketing
Phone
(952) 224-0777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

750 2ND St NE Ste 382
Hopkins, MN 55343-8587

Mailing address

750 2ND St NE Ste 382
Hopkins, MN 55343-8587
Phone (952) 224-0777

National Provider Directory

National Provider Directory

Locations

750 2nd St NE
Ste 382
Hopkins, MN 55343
Phone (952) 224-0777

NPI Registry JSON

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

{
    "created_epoch": "1196294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196294400000",
    "number": "1457533606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 2ND ST NE STE 382",
            "city": "HOPKINS",
            "state": "MN",
            "postal_code": "553438587",
            "telephone_number": "952-224-0777",
            "fax_number": "952-224-0776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 2ND ST NE STE 382",
            "city": "HOPKINS",
            "state": "MN",
            "postal_code": "553438587",
            "telephone_number": "952-224-0777",
            "fax_number": "952-224-0776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLORYLAND HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-29",
        "last_updated": "2007-11-29",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "DEDRA",
        "authorized_official_title_or_position": "HUMAN RESOURCES/MARKETING",
        "authorized_official_telephone_number": "952-224-0777"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hopkins, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2007; 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.