Gloryland Nursing Rehabilitation Center, LLC

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

GLORYLAND NURSING REHABILITATION CENTER, LLC

Practice address

807 K St NE
Washington, DC 20002-3636

Phone

(571) 294-2826

Fax

(866) 703-5268

NPI assigned

Sep 24, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Joseph Kobla Tetteycambridge, PRESIDENT

Title

President

Phone

(571) 294-2826

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1253750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253750400000",
    "number": "1730413683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 K ST NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200023636",
            "telephone_number": "517-294-2826",
            "fax_number": "866-703-5268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 K ST NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200023636",
            "telephone_number": "571-294-2826",
            "fax_number": "866-703-5268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLORYLAND NURSING REHABILITATION CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-24",
        "last_updated": "2009-09-24",
        "status": "A",
        "authorized_official_last_name": "TETTEYCAMBRIDGE",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "KOBLA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "571-294-2826",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PRESIDENT"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "DC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gloom and Bloom LLC
• Daniel R Glor, M.D.
• Glorious Home Care Agency LLC
• Glorious Life Healthcare Services
• Assi Acha Glory
• Brandon Neil Glousman
• Alexis Bridges Glover, FNP-BC
• Alma Glover
• Amesha Tiray Glover
• Cynthia Glover, HHA

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Washington, DC
• Providers in Washington, DC by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.