Active NPI
Glad Home Care
- Intellectual Disabilities Intermediate Care Facility
- San Diego, CA
National Provider Identifier
1538423140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual Disabilities Intermediate Care Facility
- License
- 374603256
- Legal business name
- GLAD HOME CARE
- Practice address
- 8652 Tommy Dr
San Diego, CA 92119-2012 - Phone
- (858) 518-7292
- NPI assigned
- Jun 28, 2012
- Last updated
- Jun 28, 2012
- 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
- Ian Thomas Gladd
- Title
- Administrator / Licensee
- Phone
- (858) 518-7292
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual Disabilities Intermediate Care Facility | 315P00000X | 374603256 | CA | Primary |
Addresses
Primary practice location
8652 Tommy Dr
San Diego, CA 92119-2012
Mailing address
8652 Tommy Dr
San Diego, CA 92119-2012
Phone (858) 518-7292
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340841600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1340841600000",
"number": "1538423140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8652 TOMMY DR",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921192012",
"telephone_number": "858-518-7292"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8652 TOMMY DR",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921192012",
"telephone_number": "858-518-7292"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GLAD HOME CARE",
"organizational_subpart": "NO",
"enumeration_date": "2012-06-28",
"last_updated": "2012-06-28",
"status": "A",
"authorized_official_last_name": "GLADD",
"authorized_official_first_name": "IAN",
"authorized_official_middle_name": "THOMAS",
"authorized_official_title_or_position": "ADMINISTRATOR / LICENSEE",
"authorized_official_telephone_number": "858-518-7292"
},
"taxonomies": [
{
"code": "315P00000X",
"taxonomy_group": "",
"desc": "Intermediate Care Facility, Intellectual Disabilities",
"state": "CA",
"license": "374603256",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.