NPIMap

Organization Active NPI

Glorious Manor Inc.

  • Community/Behavioral Health Agency
  • Long Beach, CA
National Provider Identifier
1649498353
Registry record updated Nov 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
GLORIOUS MANOR INC.
Practice address
2703 E 7TH St
Long Beach, CA 90804-4708
Phone
(562) 433-0454
NPI assigned
Apr 20, 2007
Last updated
Nov 6, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2012

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

Authorized official

Name
Ms. Gloria V CalixtoNPI 1629281746
Title
Executive Director
Phone
(562) 433-0454

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)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X CA Primary

Addresses

Primary practice location

2703 E 7TH St
Long Beach, CA 90804-4708

Mailing address

2703 E 7TH St
Long Beach, CA 90804-4708
Phone (562) 433-0454

National Provider Directory

National Provider Directory

Locations

2703 E 7th St
Long Beach, CA 90804
Phone (562) 433-0454

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352160000000",
    "number": "1649498353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2703 E 7TH ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908044708",
            "telephone_number": "562-433-0454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2703 E 7TH ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908044708",
            "telephone_number": "562-433-0454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLORIOUS MANOR INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-20",
        "last_updated": "2012-11-06",
        "status": "A",
        "authorized_official_last_name": "CALIXTO",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "562-433-0454",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2012; 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.