Organization Active NPI

Glory to Glory Healthcare Services, Inc

  • Home Health Agency
  • Jacksonville, FL
National Provider Identifier
1821383472
Registry record updated Jun 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
GLORY TO GLORY HEALTHCARE SERVICES, INC
Practice address
5240 Polan LN
Jacksonville, FL 32209-2818
Phone
(904) 962-5121
NPI assigned
Jun 12, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2011

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

Authorized official

Name
Dr. Tonya A Pitts
Title
President
Phone
(904) 962-5121

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

5240 Polan LN
Jacksonville, FL 32209-2818

Mailing address

5240 Polan LN
Jacksonville, FL 32209-2818

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1307836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307836800000",
    "number": "1821383472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5240 POLAN LN",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322092818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5240 POLAN LN",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322092818",
            "telephone_number": "904-962-5121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLORY TO GLORY HEALTHCARE SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-12",
        "last_updated": "2011-06-12",
        "status": "A",
        "authorized_official_last_name": "PITTS",
        "authorized_official_first_name": "TONYA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-962-5121",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2011; 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.