Organization Active NPI

Glama Keri Home Care Agency

  • Nursing Care Agency
  • New Hope, MN
National Provider Identifier
1811468531
Registry record updated Dec 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
Legal business name
GLAMA KERI HOME CARE AGENCY
Doing business as
Glama Keri Home Care Agency
Practice address
2738 Winnetka Ave N # 150Q
New Hope, MN 55427-2850
Phone
(952) 200-5200
NPI assigned
Dec 6, 2018
Last updated
Dec 6, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2018

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

Authorized official

Name
Gladys Kerubo MachoguNPI 1851862676
Title
Ceo
Phone
(952) 200-5200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X Primary

Addresses

Primary practice location

2738 Winnetka Ave N # 150Q
New Hope, MN 55427-2850

Mailing address

2738 Winnetka Ave N # 150Q
New Hope, MN 55427-2850
Phone (952) 200-5200

Other names 1

  • GLAMA KERI HOME CARE AGENCY Doing business as

National Provider Directory

National Provider Directory

Locations

2738 Winnetka Ave N
#150Q
New Hope, MN 55427
Phone (952) 200-5200

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1544054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544054400000",
    "number": "1811468531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2738 WINNETKA AVE N # 150Q",
            "city": "NEW HOPE",
            "state": "MN",
            "postal_code": "554272850",
            "telephone_number": "952-200-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2738 WINNETKA AVE N # 150Q",
            "city": "NEW HOPE",
            "state": "MN",
            "postal_code": "554272850",
            "telephone_number": "952-200-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLAMA KERI HOME CARE AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-06",
        "last_updated": "2018-12-06",
        "status": "A",
        "authorized_official_last_name": "MACHOGU",
        "authorized_official_first_name": "GLADYS",
        "authorized_official_middle_name": "KERUBO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "952-200-5200"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GLAMA KERI HOME CARE AGENCY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Hope, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2018; 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.