NPIMap

Organization Active NPI

Glory Divine Home Care LLC

  • Developmentally Disabled Services Day Training Agency
  • Napoleonville, LA
National Provider Identifier
1598094500
Registry record updated Dec 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
1348961 Issued in LA
Legal business name
GLORY DIVINE HOME CARE LLC
Practice address
4589-A Hwy 1
Napoleonville, LA 70390
Phone
(985) 369-4111
Fax
(985) 369-4110
NPI assigned
Dec 22, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2009

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

Authorized official

Name
Mrs. Deddra Williams Holmes, LPN
Title
Ceo
Phone
(985) 369-4111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X 1348961 LA Primary

Addresses

Primary practice location

4589-A Hwy 1
Napoleonville, LA 70390

Mailing address

P.O. Box 867
4589-A Hwy 1
Napoleonville, LA 70390
Phone (985) 369-4111

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1261440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261440000000",
    "number": "1598094500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 867",
            "address_2": "4589-A HWY 1",
            "city": "NAPOLEONVILLE",
            "state": "LA",
            "postal_code": "70390",
            "telephone_number": "985-369-4111",
            "fax_number": "985-369-4110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4589-A HWY 1",
            "city": "NAPOLEONVILLE",
            "state": "LA",
            "postal_code": "70390",
            "telephone_number": "985-369-4111",
            "fax_number": "985-369-4110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLORY DIVINE HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-22",
        "last_updated": "2009-12-22",
        "status": "A",
        "authorized_official_last_name": "HOLMES",
        "authorized_official_first_name": "DEDDRA",
        "authorized_official_middle_name": "WILLIAMS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "985-369-4111",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "LA",
            "license": "1348961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Napoleonville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2009; 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.