GLORIA HOME CARE AGENCY INC (NPI# 1114228665) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114228665 |
| Entity Type | Organization |
| Organization Name | GLORIA HOME CARE AGENCY INC |
| Practice Address |
1808 Plum St Suite C Valdosta GA 31601-7527 |
| Practice Telephone | 2292497717 |
| Practice Fax Number | 2292497717 |
| Mailing Telephone | 2292497717 |
| Mailing Fax Number | 2292497717 |
| Enumeration Date | 2010-11-14 |
| Last Update Date | 2011-04-05 |
| Authorized Official Name | MRS. GLORIA JEAN WILLIAMS (DIRECTOR) |
| Authorized Official Telephone | 2292497717 |
| Authorized Official Credential | MEDICAL ASST |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 253Z00000X | In Home Supportive Care | 092-R-0566 | GA | Agencies |
| Y | 251E00000X | Home Health | 092-R-0566 | GA | Agencies |
| Street Address |
1808 PLUM ST SUITE C |
| City | VALDOSTA |
| State | GA |
| Zip Code | 31601-7527 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659496537 | Catherine Isabelle Mickler | Chiropractor | 1808 Plum St, Ste. C, Valdosta, GA 31601-7527 | 2007-03-20 |
| 1598880338 | Dr Catherine I Mickler | Chiropractor | 1808 Plum St, Ste C, Valdosta, GA 31601-7527 | 2007-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437700838 | Tristan Carlos Garcia | Specialist/Technologist | 605 West Mary Street, Valdosta, GA 31601 | 2019-09-26 |
| 1508332438 | Euniqua Lashay Williams | Contractor | 812 Lausanne Drive, Valdosta, GA 31601 | 2018-10-18 |
| 1457847634 | Valencia Meshay Johnson | Contractor | 1211 North Oak Street, Valdosta, GA 31601 | 2018-07-10 |
| 1376038042 | Restoration Care Services, LLC | Home Health | 704 Lake Park Road, Valdosta, GA 31601 | 2018-06-26 |
| 1609373133 | Ikea Sharnay Calhoun | Contractor | 1710 Dedo Drive, Valdosta, GA 31601 | 2018-04-11 |
| 1174049431 | Alexious Denson | Contractor | 900 Blanton St., Apt A16, Valdosta, GA 31601 | 2017-08-18 |
| 1578012258 | Clarissa Yolanda Alderman | Counselor | 4107 N Forrest Run Circle, Valdosta, GA 31601 | 2016-09-23 |
| 1225322613 | Andrea J. Ramirez | Counselor | 1301 Melody Ln Ste B, Valdosta, GA 31601 | 2011-06-03 |
| 1316248560 | L&r Personal Care Home | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 14 Sharper Circle, Valdosta, GU 31601 | 2010-11-04 |
| 1902121809 | Grace Healthcare Services Inc | Respite Care | 1010 Slater Street, Valdosta, GA 31601 | 2010-04-02 |
| Find all providers in zip 31601 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588200059 | Southern Home Care Services, Inc. | Home Health | 2318 N Patterson St, Valdosta, GA 31602-2511 | 2019-11-20 |
| 1912549916 | Dekoya Wallace-adams | Home Health | 1804 E Park Ave, Valdosta, GA 31602-4414 | 2019-10-10 |
| 1538654173 | Sandra Denise Smith Jones | Home Health | 704 Lake Park Rd, Valdosta, GA 31601-6195 | 2018-06-26 |
| 1376038042 | Restoration Care Services, LLC | Home Health | 704 Lake Park Road, Valdosta, GA 31601 | 2018-06-26 |
| 1033580907 | Tmh Home & Wellness LLC | Home Health | 528 N Troup St, Valdosta, GA 31601-4734 | 2015-10-16 |
| 1154737559 | Guardian In-home Care, LLC | Home Health | 3647 Druid Oaks Dr, Valdosta, GA 31605-6545 | 2014-07-07 |
| 1336493550 | Spectrum Family Care LLC | Home Health | 3403 Bemiss Rd, Suite C, Valdosta, GA 31605-7062 | 2012-11-09 |
| 1518195866 | Southern Home Care Services, Inc. | Home Health | 3020 N Patterson St, Valdosta, GA 31602-1711 | 2009-06-25 |
| 1780790022 | Southern Home Care Services | Home Health | 1700 E Park Ave, Valdosta, GA 31602-3400 | 2006-08-21 |
| 1285648568 | Public Health Home Health, Inc. | Home Health | 3169 Inner Perimeter Rd, Valdosta, GA 31602-1062 | 2006-07-29 |
| Find all providers in VALDOSTA | ||||
Please comment or provide details below to improve the information on GLORIA HOME CARE AGENCY INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.