Organization Active NPI

Glory Home Health Care LLC

  • In Home Supportive Care Agency
  • Milwaukee, WI
National Provider Identifier
1548853088
Registry record updated Feb 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
GLORY HOME HEALTH CARE LLC
Practice address
4126 N 90TH CT
Milwaukee, WI 53222-1603
Phone
(414) 758-4309
NPI assigned
Feb 16, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2021

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

Authorized official

Name
Julie Vang
Title
Owner
Phone
(414) 758-4309

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

4126 N 90TH CT
Milwaukee, WI 53222-1603

Mailing address

4126 N 90TH CT
Milwaukee, WI 53222-1603
Phone (414) 758-4309

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1613433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613433600000",
    "number": "1548853088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4126 N 90TH CT",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532221603",
            "telephone_number": "414-758-4309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4126 N 90TH CT",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532221603",
            "telephone_number": "414-758-4309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLORY HOME HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-16",
        "last_updated": "2021-02-16",
        "certification_date": "2021-02-16",
        "status": "A",
        "authorized_official_last_name": "VANG",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "414-758-4309"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2021; 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.