Active NPI
Glomast Health Services
- Home Health Agency
- Chicago, IL
National Provider Identifier
1790419646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- GLOMAST HEALTH SERVICES
- Practice address
- 4341 S Dearborn St
Chicago, IL 60609-2910 - Phone
- (312) 823-0886
- NPI assigned
- Jul 14, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Olumuyide Omole
- Title
- Administrator
- Phone
- (312) 823-0886
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary | ||
| Nursing Care Agency | 251J00000X |
Addresses
Primary practice location
4341 S Dearborn St
Chicago, IL 60609-2910
Mailing address
4341 S Dearborn St
Chicago, IL 60609-2910
Phone (312) 823-0886
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 054065482162 | Other | IL | DRIVER'S LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| RESTful URL | glomast.com | Direct |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657756800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1660521600000",
"number": "1790419646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4341 S DEARBORN ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606092910",
"telephone_number": "312-823-0886",
"fax_number": "888-251-1030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4341 S DEARBORN ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606092910",
"telephone_number": "312-823-0886"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GLOMAST HEALTH SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2022-07-14",
"last_updated": "2022-08-15",
"certification_date": "2022-08-15",
"status": "A",
"authorized_official_last_name": "OMOLE",
"authorized_official_first_name": "OLUMUYIDE",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "312-823-0886"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DRIVER'S LICENSE",
"identifier": "054065482162",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "REST",
"endpointTypeDescription": "RESTful URL",
"endpoint": "glomast.com",
"affiliation": "N",
"endpointDescription": "website",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "4341 S Dearborn St",
"city": "Chicago",
"state": "IL",
"country_code": "US",
"postal_code": "606092910",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.