Glorious Residential Home Care LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

GLORIOUS RESIDENTIAL HOME CARE LLC

Practice address

6724 S 36TH LN
Phoenix, AZ 85041-5009

Phone

(480) 593-9652

NPI assigned

May 26, 2020

Organization subpart

No

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

Authorized official

Name

Charlesetta Ellis

Title

Owner

Phone

(480) 593-9652

Specialties & licenses 1

Addresses

Other names 1

• GLORIOUS RESIDENTIAL HOME CARE Doing business as

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

{
    "created_epoch": "1590451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590451200000",
    "number": "1801419767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6724 S 36TH LN",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850415009",
            "telephone_number": "480-593-9652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6724 S 36TH LN",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850415009",
            "telephone_number": "480-593-9652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLORIOUS RESIDENTIAL HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-26",
        "last_updated": "2020-05-26",
        "certification_date": "2020-05-26",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "CHARLESETTA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-593-9652"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GLORIOUS RESIDENTIAL HOME CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Globe Anesthesia Service, Inc.
• Kyle Glocker, BCBA, LBA
• Theresa Lynn Glonning, FNP-C
• Gloria a Estrada MD PLLC
• Gloria'S House of Healing
• Glory Care Services, Inc.
• Glory Treatment Center LLC
• Stephen Glouberman, MD
• Chelsie Glover, SLPA
• Jessica Glover, FNP-C

• Community/Behavioral Health Agency in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Community/Behavioral Health Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2020; 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.