Glory Home Health, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

GLORY HOME HEALTH, INC.

Practice address

5085 W Pico Blvd
Los Angeles, CA 90019-4131

Phone

(323) 931-0101

Fax

(323) 931-1010

NPI assigned

Feb 17, 2016

Organization subpart

No

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

Authorized official

Name

Iris Akopian

Title

Ceo

Phone

(323) 931-0101

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1790144830. Details of each certification follow.

• CCN 053128 Home health agency · Active · Details

Home health agency certification: CCN 053128

Legal name

GLORY HOME HEALTH, INC.

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Sep 22, 2017

Last certification

Jun 11, 2021

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Feb 5, 2016 in CA

Enrollment address

3111 Los Feliz Blvd
Ste 203
Los Angeles, CA 90039-1585

Listed as

Glory Home Health, IncCCN 053128 · All quality measures

Overall star rating

2.5 of 5

Ownership

Proprietary

Certified

Sep 22, 2017

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Locations

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Sarah Gravitz Apollo, DO

  • Internal Medicine Physician
  • Placentia, CA
  • NPI 1730114372

  Home health agency

  Care Compare affiliation
• Samuel Fitzgerald Broders, MD

  • Emergency Medicine Physician
  • Dallas, TX
  • NPI 1245737188

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1455667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477008000000",
    "number": "1790144830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5085 W PICO BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900194131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5085 W PICO BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900194131",
            "telephone_number": "323-931-0101",
            "fax_number": "323-931-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLORY HOME HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-17",
        "last_updated": "2016-10-21",
        "status": "A",
        "authorized_official_last_name": "AKOPIAN",
        "authorized_official_first_name": "IRIS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "323-931-0101"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prisca Gloor Maung, PH.D.
• Samantha Joy Lutz Gloria
• Gloriana C. Villago D. D. S., Inc.
• Glory Cabanilla Tancinco,M.D. Inc.
• Glory Health Clinic, Inc.
• Glory Medical Supplies
• Colette Ann Glosman, MA, LMFT
• Jacqueline Glosman
• Bobby Gene Glover Jr I
• Ashon Glover

• Home Health Agency in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.