Glory Personal Care Home, Llc

LBN: Glory Personal Care Home, Llc
Glory Personal Care Home, Llc is an health care organization with primary practice located at 90 Paces Lndg , Covington GA 30016-4167. The organization recently has 2 registered licenses in different health care specialties including Nursing Service Related Providers / Adult Companion, Respite Care Facility / Respite Care. Nursing Service Related Providers / Adult Companion is the primary health care specialty. Glory Personal Care Home, Llc can be contacted via phone (678) 432-8818, or through Rodgers, Syvis A via phone (678) 342-8818.

Contact Information

Primary practice address
90 Paces Lndg Covington GA 30016-4167
Phone: (678) 432-8818
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Rodgers, Syvis A
Phone: (678) 342-8818

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Adult Companion 372600000X RN 188675 Georgia
Respite Care Facility / Respite Care 385H00000X RN 188675 Georgia

Profile Details

NPI number 1063712487
LBN Legal business name Glory Personal Care Home, Llc
DBA Doing business as
Authorized official Rodgers, Syvis A
Entity Organization
Organization subpart 1 No
Enumeration date Nov 1st, 2010
Last updated Nov 1st, 2010 - about 16 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 1063712487 NPPES
Georgia Other BLC10-17496 NEWTON COUNTY BUSINESS LICENSE
Georgia Other 107-01-0829 NEWTON COUNTY BUSINESS LICENSE
Georgia Other RN188675 NEWTON COUNTY BUSINESS LICENSE

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