Organization Active NPI

Glad Home Health Inc

Doing business as Dba: Glad Home Health Care

  • Home Health Agency
  • Allen, TX
National Provider Identifier
1487804746
Registry record updated Mar 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
GLAD HOME HEALTH INC
Doing business as
Dba: Glad Home Health Care
Practice address
600 Hanover Dr
Allen, TX 75002-4774
Phone
(214) 383-5815
Fax
(214) 495-0337
NPI assigned
Sep 23, 2008
Last updated
Mar 27, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2015

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

Authorized official

Name
Ms. Gladys E Tambong, REGISTERED NURSE
Title
Administrator/Director of Nursing
Phone
(214) 383-5815

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

600 Hanover Dr
Allen, TX 75002-4774

Mailing address

600 Hanover Dr
Allen, TX 75002-4774
Phone (214) 383-5815

Other names 1

  • DBA: GLAD HOME HEALTH CARE Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090521000157 TX Part A Provider - Home Health Agency 2567511504 Practice locations: Allen, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1487804746. Details of each certification follow.

Home health agency certification: CCN 747656

Legal name
GLAD HOME HEALTH INC.
Doing business as
GLAD HOME HEALTH CARE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jan 3, 2012
Last certification
Feb 21, 2018
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Apr 25, 2008 in TX
Enrollment address
600 Hanover Drive
Allen, TX 75002-4774

Care Compare: Home health agency

Medicare Care Compare
Listed as
Glad Home Health CareCCN 747656 · All quality measures
Ownership
Proprietary
Certified
Jan 3, 2012
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Gladys Tambong Individual 5% Or Greater Direct Ownership Interest Apr 29, 2009
Corporate Director Apr 29, 2009
W-2 Managing Employee Apr 29, 2009

NPI Registry JSON

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

{
    "created_epoch": "1222128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427414400000",
    "number": "1487804746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 HANOVER DR",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750024774",
            "telephone_number": "214-383-5815",
            "fax_number": "214-495-0337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 HANOVER DR",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750024774",
            "telephone_number": "214-383-5815",
            "fax_number": "214-495-0337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLAD HOME HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-23",
        "last_updated": "2015-03-27",
        "status": "A",
        "authorized_official_last_name": "TAMBONG",
        "authorized_official_first_name": "GLADYS",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "ADMINISTRATOR/DIRECTOR OF NURSING",
        "authorized_official_telephone_number": "214-383-5815",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DBA: GLAD HOME HEALTH CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Allen, TX

Sources for this page

Verify at the official NPI Registry.