MEDICARE: GLORIAS ANGELS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	374U00000X	Home Health Aide

General Provider Information

NPI Number	:	1053836536
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GLORIAS ANGELS LLC

Provider Business Mailing Address
First Line	:	5615 VILLAGE POND CIR
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32222-1159
Country	:	US
Telephone Number	:	904-318-5275
Fax Number	:

Provider Business Practice Location Address
First Line	:	5615 VILLAGE POND CIR
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32222-1159
Country	:	US
Telephone Number	:	904-318-5275
Fax Number	:

Authorized Official
Title or Position	:	AGENT
Name	:	CHARLES HENRY RAFFERTY JR.
Credential	:
Telephone Number	:	904-318-5275

Provider Enumeration Date	:	08/07/2017
Last Update Date	:	07/21/2022

Similar Medicare Providers

1568453504 — MS. DOLORES C JONES ARNP
Practice Location Address:

8344 WHITMIRE CT
JACKSONVILLE, FL
32216-1159

Practice Phone: 904-642-0002
Practice Fax: 904-646-4288

1417926619 — WILLIAM G. LOVELAND LCSW
Practice Location Address:

1515 W WALNUT ST STE 1
JACKSONVILLE, IL
62650-1159

Practice Phone: 217-245-7275
Practice Fax: 217-245-7427

1518022649 — MS. TRACY ANN STUCKER LCSW
Practice Location Address:

1515 W WALNUT ST STE 1
JACKSONVILLE, IL
62650-1159

Practice Phone: 217-245-7275
Practice Fax: 217-245-7427

1558496257 — LAKSHMI PERI
Practice Location Address:

11101 SAINT AUGUSTINE RD , WINN DIXIE 179
JACKSONVILLE, FL
32257-1159

Practice Phone: 904-260-9755
Practice Fax: 904-260-4385

1730650573 — TURNAROUND RETREAT
Practice Location Address:

1159 E 13TH ST
JACKSONVILLE, FL
32206-3105

Practice Phone: 904-660-8835
Practice Fax:

1598309171 — ANNIE RUTH THOMAS
Practice Location Address:

1159 GLENCARIN ST
JACKSONVILLE, FL
32208-4367

Practice Phone: 904-444-4162
Practice Fax:

Directions to “GLORIAS ANGELS LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.