Organization Active NPI

Glamorous Homecare

  • Home Health Agency
  • Madison, WI
National Provider Identifier
1780443796
Registry record updated Mar 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
GLAMOROUS HOMECARE
Practice address
811 E Washington Ave Ste 400
Madison, WI 53703-4028
Phone
(608) 400-6610
NPI assigned
Mar 14, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2024

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

Authorized official

Name
Jericka Simmons
Title
Ceo
Phone
(608) 400-6610

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
In Home Supportive Care Agency 253Z00000X
Non-emergency Medical Transport (VAN) 343900000X
Respite Care 385H00000X

Addresses

Primary practice location

811 E Washington Ave Ste 400
Madison, WI 53703-4028

Mailing address

811 E Washington Ave Ste 400
Madison, WI 53703-4028
Phone (608) 400-6610

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1710374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710374400000",
    "number": "1780443796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 E WASHINGTON AVE STE 400",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537034028",
            "telephone_number": "608-400-6610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 E WASHINGTON AVE STE 400",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537034028",
            "telephone_number": "608-400-6610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLAMOROUS HOMECARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-14",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-14",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "JERICKA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "608-400-6610"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2024; 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.