Glorious Home Care & Nursing Services, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

HPO239900 Issued in NJ

Legal business name

GLORIOUS HOME CARE & NURSING SERVICES, LLC

Practice address

110 Huron Ave
Egg Harbor Township, NJ 08234-7320

Phone

(609) 904-6911

NPI assigned

Mar 29, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Kofi A Idan, MFIN,MBA

Title

Ceo & Executive Chairman

Phone

(484) 557-0913

Specialties & licenses 4

Addresses

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

{
    "created_epoch": "1490745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490745600000",
    "number": "1740712801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 HURON AVE",
            "city": "EGG HARBOR TOWNSHIP",
            "state": "NJ",
            "postal_code": "082347320",
            "telephone_number": "609-904-6911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 HURON AVE",
            "city": "EGG HARBOR TOWNSHIP",
            "state": "NJ",
            "postal_code": "082347320",
            "telephone_number": "609-904-6911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLORIOUS HOME CARE & NURSING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-29",
        "last_updated": "2017-03-29",
        "status": "A",
        "authorized_official_last_name": "IDAN",
        "authorized_official_first_name": "KOFI",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO & EXECUTIVE CHAIRMAN",
        "authorized_official_telephone_number": "484-557-0913",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MFIN,MBA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NJ",
            "license": "HPO239900",
            "primary": true
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NJ",
            "license": "HPO239900",
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NJ",
            "license": "HPO239900",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NJ",
            "license": "HPO239900",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Gerhardt
• Sassine Ghanem, M.D.
• Maureen Gibson, RBT
• Gary M Glass, MD
• Sandra L Glass, RN
• Jo-Anne Rzepka Goldberg, LCSW
• Golden Care Seniors LLC
• Ashley Golden, PA-C
• Yadi Gorji, MD
• Kevin Gormley, ARNP

• Home Health Agency in Egg Harbor Township, NJ
• Providers in Egg Harbor Township, NJ by specialty
• Home Health Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2017; 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.