Glory Professional Home Services Inc

LBN: Glory Professional Home Services Inc
Glory Professional Home Services Inc is an health care organization with primary practice located at 6781 Londonderry Way Ste 5 , Union City GA 30291-2094. The organization recently has only one registered license in Agencies / Home Health, which is considered as the primary health care specialty. Glory Professional Home Services Inc can be contacted via phone (770) 906-7421, or through Obiekwe, Elizabeth E via phone (770) 906-7421.

Contact Information

Primary practice address
6781 Londonderry Way Ste 5 Union City GA 30291-2094
Fax: (770) 626-3164
Website:
Authorized official contact:
Name: Obiekwe, Elizabeth E

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X

Profile Details

NPI number 1376153049
LBN Legal business name Glory Professional Home Services Inc
DBA Doing business as
Authorized official Obiekwe, Elizabeth E
Entity Organization
Organization subpart 1 No
Enumeration date Aug 6th, 2020
Last updated Aug 6th, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376153049 NPPES
Georgia MEDICAID PHCP010418

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