Organization Active NPI

Glad Home Care

  • Intellectual Disabilities Intermediate Care Facility
  • San Diego, CA
National Provider Identifier
1538423140
Registry record updated Jun 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
374603256 Issued in CA
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, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2012

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.