Glorious in Home and CDS LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

GLORIOUS IN HOME AND CDS LLC

Practice address

1011B Truman Blvd
Caruthersville, MO 63830

Phone

(573) 620-3186

Fax

(573) 333-9898

NPI assigned

Aug 4, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Elisha S Pullen

Title

Member

Phone

(573) 620-3186

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1628035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628121600000",
    "number": "1912671975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1060",
            "city": "CARUTHERSVILLE",
            "state": "MO",
            "postal_code": "638301060",
            "telephone_number": "573-333-1300",
            "fax_number": "573-333-9898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011B TRUMAN BLVD",
            "city": "CARUTHERSVILLE",
            "state": "MO",
            "postal_code": "63830",
            "telephone_number": "573-620-3186",
            "fax_number": "573-333-9898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLORIOUS IN HOME AND CDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-04",
        "last_updated": "2021-08-05",
        "certification_date": "2021-08-05",
        "status": "A",
        "authorized_official_last_name": "PULLEN",
        "authorized_official_first_name": "ELISHA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "573-620-3186",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Caruthersville, MO
• Providers in Caruthersville, MO by specialty
• Home Health Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2021; 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.