Gloryland of Boynton Home Care, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

235133 Issued in FL

Legal business name

GLORYLAND OF BOYNTON HOME CARE, LLC

Practice address

2500 Quantum Lakes Dr Ste 203
Boynton Beach, FL 33426-8323

Phone

(561) 853-2253

NPI assigned

Apr 10, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Malcolm Ernest Bogyah, LPN

Title

Owner/Ceo

Phone

(561) 853-2253

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1523318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523318400000",
    "number": "1467959130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 QUANTUM LAKES DR STE 203",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334268323",
            "telephone_number": "561-853-2253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 QUANTUM LAKES DR STE 203",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334268323",
            "telephone_number": "561-853-2253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLORYLAND OF BOYNTON HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-10",
        "last_updated": "2018-04-10",
        "status": "A",
        "authorized_official_last_name": "BOGYAH",
        "authorized_official_first_name": "MALCOLM",
        "authorized_official_middle_name": "ERNEST",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "561-853-2253",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "235133",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCA",
            "identifier": "235133",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Boynton Beach, FL
• Providers in Boynton Beach, FL by specialty
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.