GLORIOUS HOME STYLE CARE,LLC (NPI# 1467012559) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1467012559 |
Entity Type | Organization |
Organization Name | GLORIOUS HOME STYLE CARE,LLC |
Practice Address |
7009 Avenue S Lubbock TX 79412-4051 |
Practice Telephone | 8067247804 |
Practice Fax Number | 8067012910 |
Mailing Telephone | 8067247804 |
Mailing Fax Number | 8067012910 |
Enumeration Date | 2019-06-19 |
Last Update Date | 2019-06-19 |
Authorized Official Name | MRS. GLORIA LYNN WILLIAMS (FOUNDER, PRESIDENT CEO OWNER) |
Authorized Official Telephone | 8067247804 |
Authorized Official Credential | NURSING AIDE |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163WP2201X |
Registered Nurse Specialization: Ambulatory Care |
Nursing Service Providers | ||
N | 163WW0000X |
Registered Nurse Specialization: Wound Care |
Nursing Service Providers | ||
N | 251B00000X | Case Management | Agencies | ||
N | 251C00000X | Day Training, Developmentally Disabled Services | Agencies | ||
N | 251J00000X | Nursing Care | Agencies | ||
N | 251V00000X | Voluntary or Charitable | Agencies | ||
N | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities | ||
N | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
Ambulatory Health Care Facilities | ||
N | 261QR0401X |
Clinic/Center Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
Ambulatory Health Care Facilities | ||
N | 3104A0625X |
Assisted Living Facility Specialization: Assisted Living, Mental Illness |
Nursing & Custodial Care Facilities | ||
N | 3104A0630X |
Assisted Living Facility Specialization: Assisted Living, Behavioral Disturbances |
Nursing & Custodial Care Facilities | ||
N | 343800000X | Secured Medical Transport (VAN) | Transportation Services | ||
N | 347C00000X | Private Vehicle | Transportation Services | ||
N | 376K00000X | Nurse's Aide | Nursing Service Related Providers | ||
Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
Other Name | Type Code |
---|---|
Health Care Service | Doing Business As Name - Organization |
Street Address |
7009 AVENUE S |
City | LUBBOCK |
State | TX |
Zip Code | 79412-4051 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801420864 | The Kidney Care Center, LLC | Clinic/Center | 3702 Interstate 27, Lubbock, TX 79412 | 2020-02-28 |
1639531254 | Lori Ann Boyd | Dietitian, Registered | 2412 50 Th Street, Lubbock, TX 79412 | 2016-03-23 |
1073989083 | Jesse Garcia | Social Worker | 6104 Ave. Q South Drive, Lubbock, TX 79412 | 2015-08-12 |
1316294408 | Ronald Caporale | Physician Assistant | 1701 50th Street, Lubbock, TX 79412 | 2012-08-08 |
1508152901 | Lilian Francisca Hayes | Counselor | 2345 50th St., Lubbock, TX 79412 | 2011-06-23 |
1861787285 | Sarah Delacruz | Counselor | 2345 50th Street, Lubbock, TX 79412 | 2011-06-14 |
1407189558 | David G Smith | Counselor | 2345 50th Managed Care Center, Lubbock, TX 79412 | 2009-09-08 |
1427261205 | Barbara J Trotter | Dietitian, Registered | 5022 Ave Q, Covenant Ctr for Outpatient Diabetes Education Lubbock, Lubbock, TX 79412 | 2007-05-08 |
1447471057 | Elmer Artemus Addington IIi | Chiropractor | 3410 Avenue Q, Lubbock, TX 79412 | 2007-05-01 |
1083779805 | Shaun Hamlett Keel PC | Psychologist | 2402 52nd St., Suite 6, Lubbock, TX 79412 | 2006-12-22 |
Find all providers in zip 79412 |
Taxonomy Code | 310400000X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Assisted Living Facility |
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841607868 | S-h Opco Cottage Village, LLC | Assisted Living Facility | 110 Frankford Ave, Lubbock, TX 79416-1426 | 2014-07-22 |
1689970394 | Senior Solace LLC | Assisted Living Facility | 2510 Slide Rd, Lubbock, TX 79407-2220 | 2011-01-28 |
1235467457 | Sweet Embrace Assisted Living Inc. | Assisted Living Facility | 602 Fm 1294, Lubbock, TX 79403-6735 | 2009-11-28 |
1427279553 | Lubbock Assisted Living Limited Partnership | Assisted Living Facility | 110 Frankford Avenue, Lubbock, TX 79416 | 2007-05-02 |
1457572109 | Sphinx Sunrunners Inc | Assisted Living Facility | 3319 35th St, Lubbock, TX 79413 | 2007-05-01 |
1548387160 | Victor Ray Fulford | Assisted Living Facility | 5720 79th St, Lubbock, TX 79424-2624 | 2007-03-26 |
1205952876 | Assisted Living Concepts Inc | Assisted Living Facility | 8609 Boston Avenue, Lubbock, TX 79423 | 2007-03-22 |
1053468082 | Lutheran Social Services of The South, Inc. | Assisted Living Facility | 9812 Vinton Ave, Lubbock, TX 79424-6376 | 2007-01-04 |
1902053820 | Abiding Care | Assisted Living Facility | 5720 79th St, Lubbock, TX 79424-2624 | 2008-08-21 |
1568681583 | Texas Esc - Lubbock, L.p. | Assisted Living Facility | 5301 66th St, Lubbock, TX 79424-1369 | 2007-04-25 |
Find all providers in LUBBOCK |
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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.