GLORY PSYCHIATRIC CENTER, INC. (NPI# 1366679805) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366679805 |
| Entity Type | Organization |
| Organization Name | GLORY PSYCHIATRIC CENTER, INC. |
| Practice Address |
2316 Hillcrest St Orlando FL 32803-4900 |
| Practice Telephone | 4078946980 |
| Practice Fax Number | 4078946982 |
| Mailing Telephone | 4078946980 |
| Mailing Fax Number | 4078946982 |
| Enumeration Date | 2009-06-11 |
| Last Update Date | 2009-06-11 |
| Authorized Official Name | DR. STELLA BANAG MONTES (PRESIDENT) |
| Authorized Official Telephone | 4078946980 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | P04000046349 | FL | Agencies |
| Street Address |
2316 HILLCREST ST |
| City | ORLANDO |
| State | FL |
| Zip Code | 32803-4900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407967136 | Marlene Louise Schiro | Counselor | 2316 Hillcrest St, Orlando, FL 32803-4900 | 2006-08-31 |
| 1699294496 | Jennifer Zerrudo Traverso | Nurse Practitioner | 2316 Hillcrest St, Orlando, FL 32803-4900 | 2017-09-12 |
| 1366985285 | Rachel Moreno | Nurse Practitioner | 2316 Hillcrest St, Orlando, FL 32803-4900 | 2016-11-25 |
| 1497134977 | Jerry Serrano | Nurse Practitioner | 2316 Hillcrest St, Orlando, FL 32803-4900 | 2015-05-29 |
| 1912304759 | Shujen T Fernandez | Nurse Practitioner | 2316 Hillcrest St, Orlando, FL 32803-4900 | 2014-11-21 |
| 1407120900 | Psychiatric Care Consultants, LLC | Specialist | 2316 Hillcrest St, Orlando, FL 32803-4900 | 2012-03-01 |
| 1699987917 | Yolanda C Vasallo | Counselor | 2316 Hillcrest St, Orlando, FL 32803-4900 | 2007-05-07 |
| 1891848925 | Glory Psychiatric Center | Psychologist | 2316 Hillcrest St, Orlando, FL 32803-4900 | 2007-01-20 |
| 1861577918 | Stella Banag Montes | Psychiatry & Neurology | 2316 Hillcrest St, Orlando, FL 32803-4900 | 2006-10-26 |
| 1760585004 | Alexander Anthony Mescavage II | Counselor | 2316 Hillcrest St, Orlando, FL 32803-4900 | 2006-09-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255952636 | Laiza Souza Tanner | Technician | 500 E Rollins St, Orlando, FL 32803 | 2020-04-27 |
| 1407415342 | Betty Carrol | Marriage & Family Therapist | 1516 E Colonial Dr Ste 100, Orlando, FL 32803 | 2019-06-12 |
| 1326606047 | Anthony Balingit | Physical Therapy Assistant | 1870 Aloma Avenue, Orlando, FL 32803 | 2019-05-29 |
| 1396234795 | Natasha Le Morvan | Technician/Technologist | 1364 Ferris Ave, Orlando, FL 32803 | 2018-05-02 |
| 1306365796 | Sarah E Fischer | Nurse Practitioner | Adventhealth Orlando, 601 E Rollins St, Orlando, FL 32803 | 2017-09-17 |
| 1710404249 | Emilia's Direct Care Agency | Community/Behavioral Health | 3218 E Colonial Dr Rm 118, Orlando, FL 32803 | 2017-08-25 |
| 1760907620 | Kalie Brianne Morris | Speech-Language Pathologist | 1120 Portland Ave Unit 7, Orlando, FL 32803 | 2017-08-11 |
| 1972024271 | Tatiana Ungredda | Psychologist | 5201 Raymond St Ste 424, Orlando, FL 32803 | 2017-06-28 |
| 1063942662 | Michael Thomas | Licensed Practical Nurse | 101 South Bumby Ave, E11, Orlando, FL 32803 | 2017-06-15 |
| 1598209249 | Danielle Marin | Behavioral Analyst | 2807 Edgewater Dr, Orlando, FL 32803 | 2016-12-15 |
| Find all providers in zip 32803 | ||||
| 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 |
|---|---|---|---|---|
| 1649879073 | Love and Faith Senior Home Care | Home Health | 5434 Old Oak Tree Dr, Orlando, FL 32808-5994 | 2020-10-16 |
| 1588261234 | Precious Jewels Support Services Inc | Home Health | 2296 River Park Cir, Orlando, FL 32817-4880 | 2020-10-06 |
| 1902403082 | Ikeshia K Herbert | Home Health | 2048 Mercy Drive Apt 302, Orlando, FL 32808 | 2020-10-02 |
| 1356951719 | Miraculous Care LLC | Home Health | 4457 Ribblesdale Ln, Orlando, FL 32808-2031 | 2020-07-31 |
| 1417566506 | Arielys Perez Caraballo | Home Health | 10256 Laxton St, Orlando, FL 32824-4430 | 2020-07-24 |
| 1336767912 | Enriched Life Care | Home Health | 1909 Ranch Estate Dr, Orlando, FL 32825-8407 | 2020-07-09 |
| 1013533769 | Nicole Homecare Services LLC | Home Health | 1000 Delphinium Dr, Orlando, FL 32825-6710 | 2020-06-18 |
| 1336764497 | Platinum Home Care Services LLC | Home Health | 5631 Gatlin Ave Apt D, Orlando, FL 32812-7746 | 2020-06-14 |
| 1104466192 | Alicia Maria Richardson | Home Health | 6100 Stevenson Dr Unit 208, Orlando, FL 32835-2396 | 2020-01-08 |
| 1447890454 | Stephanie Taylor | Home Health | 2598 Robert Trent Jones Dr Apt 1021, Orlando, FL 32835-6282 | 2020-01-08 |
| Find all providers in ORLANDO | ||||
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| 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.