Active NPI
Glory Days Healthcare LLC
- Home Health Agency
- Stafford, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- GLORY DAYS HEALTHCARE LLC
- Practice address
- 800 Corporate Dr Ste 362
Stafford, VA 22554-4889 - Phone
- (540) 930-4081
- NPI assigned
- Jul 25, 2023
- 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
- Fatmata Endeley, MSN,BSN,RN
- Title
- Administrator
- Phone
- (540) 930-4061
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
800 Corporate Dr Ste 362
Stafford, VA 22554-4889
Mailing address
28 Puri LN
Stafford, VA 22554-8201
Phone (703) 459-4365
National Provider Directory
National Provider Directory- Tax ID family
- Glory Days Healthcare LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Developmentally Disabled Services Day Training Agency
- Stafford, VA
- NPI 1477481109
Locations
800 Corporate Dr
Ste 362
Stafford, VA 22554
Phone (540) 930-4081
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Developmentally Disabled Services Day Training Agency
- Stafford, VA
- NPI 1477481109
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Registered Nurse
- Stafford, VA
- NPI 1548949019
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690243200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1690243200000",
"number": "1538840467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28 PURI LN",
"city": "STAFFORD",
"state": "VA",
"postal_code": "225548201",
"telephone_number": "703-459-4365"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 CORPORATE DR STE 362",
"city": "STAFFORD",
"state": "VA",
"postal_code": "225544889",
"telephone_number": "540-930-4081"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GLORY DAYS HEALTHCARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-07-25",
"last_updated": "2023-07-25",
"certification_date": "2023-07-24",
"status": "A",
"authorized_official_last_name": "ENDELEY",
"authorized_official_first_name": "FATMATA",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "540-930-4061",
"authorized_official_credential": "MSN,BSN,RN"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stafford, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.