NPIMap

Organization Active NPI

Glory Health Network

  • Community Based Hospice Care Agency
  • Vista, CA
National Provider Identifier
1538767694
Registry record updated Oct 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
GLORY HEALTH NETWORK
Practice address
410 S Melrose Dr Ste 222
Vista, CA 92081-6607
Phone
(858) 722-4181
NPI assigned
Oct 12, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2020

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

Authorized official

Name
Lorena Yanai Sayler, RNMSN
Title
President
Phone
(858) 722-4181

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

410 S Melrose Dr Ste 222
Vista, CA 92081-6607

Mailing address

410 S Melrose Dr Ste 222
Vista, CA 92081-6607
Phone (858) 722-4181

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220114000651 CA Part A Provider - Hospice 4284026667 Practice locations: Vista, CA

Hospice certification: CCN B31745

Legal name
GLORY HEALTH NETWORK
Doing business as
GLORY HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Mar 25, 2022
Last certification
Mar 25, 2022
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Incorporated
Sep 14, 2020 in CA
Enrollment address
410 S Melrose Dr
Ste 222
Vista, CA 92081-6607

Care Compare: Hospice

Medicare Care Compare
Listed as
Glory HospiceCCN B31745 ยท All quality measures
Certified
Mar 25, 2022
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

410 S Melrose Dr
Ste 222
Vista, CA 92081
Phone (760) 518-0001

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
Lorena J Yanai Sayler Individual 5% Or Greater Direct Ownership InterestBoard Member, Administrator Sep 14, 2020 50%
Corporate OfficerPresident Sep 14, 2020 50%
Corporate DirectorDirector Sep 14, 2020 50%
Jacqueline Copeland Individual 5% Or Greater Direct Ownership InterestBoard Member, Director of Patient C Sep 14, 2020 50%
Corporate DirectorDirector Sep 14, 2020 50%
W-2 Managing EmployeeDirector of Patient Care Services Aug 16, 2021 50%

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1602460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602460800000",
    "number": "1538767694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 S MELROSE DR STE 222",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920816607",
            "telephone_number": "858-722-4181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 S MELROSE DR STE 222",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920816607",
            "telephone_number": "858-722-4181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLORY HEALTH NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-12",
        "last_updated": "2020-10-12",
        "certification_date": "2020-10-12",
        "status": "A",
        "authorized_official_last_name": "SAYLER",
        "authorized_official_first_name": "LORENA",
        "authorized_official_middle_name": "YANAI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-722-4181",
        "authorized_official_credential": "RNMSN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vista, CA

Sources for this page

Verify at the official NPI Registry.