Organization Active NPI

Glorious Home Care

  • In Home Supportive Care Agency
  • St Petersburg, FL
National Provider Identifier
1912617374
Registry record updated Nov 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
GLORIOUS HOME CARE
Practice address
2124 11TH Ave S
St Petersburg, FL 33712-2269
Phone
(727) 239-5078
NPI assigned
Nov 28, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2022

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

Authorized official

Name
Tahysha Atkins
Title
Ceo
Phone
(727) 239-5078

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

2124 11TH Ave S
St Petersburg, FL 33712-2269

Mailing address

2124 11TH Ave S
St Petersburg, FL 33712-2269
Phone (727) 239-5078

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1669593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669593600000",
    "number": "1912617374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2124 11TH AVE S",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337122269",
            "telephone_number": "727-239-5078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2124 11TH AVE S",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337122269",
            "telephone_number": "727-239-5078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLORIOUS HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-28",
        "last_updated": "2022-11-28",
        "certification_date": "2022-11-28",
        "status": "A",
        "authorized_official_last_name": "ATKINS",
        "authorized_official_first_name": "TAHYSHA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "727-239-5078"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 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.