Organization Active NPI

Glorious Life First Choice LLC

  • Home Health Agency
  • Durham, NC
National Provider Identifier
1609273150
Registry record updated Nov 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HC4606 Issued in NC
Legal business name
GLORIOUS LIFE FIRST CHOICE LLC
Doing business as
Glorious Life Home Care Services
Practice address
3622 Shannon Rd
Suite 104
Durham, NC 27707-3771
Phone
(919) 908-1511
NPI assigned
Nov 28, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2014

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

Authorized official

Name
Alice David
Title
President
Phone
(919) 225-9009

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HC4606 NC Primary

Addresses

Primary practice location

3622 Shannon Rd
Suite 104
Durham, NC 27707-3771

Mailing address

405 Glenview LN
Durham, NC 27703-9482
Phone (919) 225-9009

Other names 1

  • Glorious Life Home Care Services Doing business as

National Provider Directory

National Provider Directory

Locations

3622 Shannon Rd
Ste 104
Durham, NC 27707
Phone (919) 493-5013

NPI Registry JSON

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

{
    "created_epoch": "1417132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417132800000",
    "number": "1609273150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 GLENVIEW LN",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277039482",
            "telephone_number": "919-225-9009",
            "fax_number": "866-920-8136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3622 SHANNON RD",
            "address_2": "SUITE 104",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277073771",
            "telephone_number": "919-908-1511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLORIOUS LIFE FIRST CHOICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-28",
        "last_updated": "2014-11-28",
        "status": "A",
        "authorized_official_last_name": "DAVID",
        "authorized_official_first_name": "ALICE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-225-9009"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC4606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Glorious Life Home Care Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2014; 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.