Organization Active NPI

Glory Homecare Services LLC

  • In Home Supportive Care Agency
  • Annandale, VA
National Provider Identifier
1922884451
Registry record updated Aug 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
GLORY HOMECARE SERVICES LLC
Practice address
4208 Evergreen LN Ste 225
Annandale, VA 22003-3251
Phone
(703) 867-2564
NPI assigned
Aug 31, 2023
Last updated
Aug 31, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2023

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

Authorized official

Name
Michelle LeeNPI 1578909917
Title
Owner
Phone
(703) 867-2564

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

4208 Evergreen LN Ste 225
Annandale, VA 22003-3251

Mailing address

4208 Evergreen LN Ste 225
Annandale, VA 22003-3251
Phone (703) 867-2564

National Provider Directory

National Provider Directory
Tax ID family
Glory Homecare Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4208 Evergreen Ln
Ste 225
Annandale, VA 22003
Phone (703) 867-2564

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": "1693440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693440000000",
    "number": "1922884451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4208 EVERGREEN LN STE 225",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220033251",
            "telephone_number": "703-867-2564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4208 EVERGREEN LN STE 225",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220033251",
            "telephone_number": "703-867-2564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLORY HOMECARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-31",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-867-2564"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annandale, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2023; 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.