Organization Active NPI

Glomast Health Services

  • Home Health Agency
  • Chicago, IL
National Provider Identifier
1790419646
Registry record updated Aug 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Aug 15, 2022

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
054065482162OtherILDRIVER'S LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
RESTful URL glomast.com Direct

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.