Gloria Care Haven LLC

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

GLORIA CARE HAVEN LLC

Practice address

13800 Coppermine Rd
Herndon, VA 20171-6163

Phone

(443) 470-2311

NPI assigned

Feb 26, 2026

Last updated

Mar 4, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ejikemeuwa Nkemakonam Nnah

Title

Owner

Phone

(443) 470-2311

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1772064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772582400000",
    "number": "1811842693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3220 RIDGEWAY PL",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212441021",
            "telephone_number": "443-470-2311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13800 COPPERMINE RD",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201716163",
            "telephone_number": "443-470-2311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLORIA CARE HAVEN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-26",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A",
        "authorized_official_last_name": "NNAH",
        "authorized_official_first_name": "EJIKEMEUWA",
        "authorized_official_middle_name": "NKEMAKONAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-470-2311"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2026; 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.