Healthcare Provider Details

I. General information

NPI: 1609654920
Provider Name (Legal Business Name): GLOVIA HOME HEALTH INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/18/2023
Last Update Date: 09/18/2023
Certification Date: 09/18/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19441 NESTOR AVE
CARSON CA
90746-2609
US

IV. Provider business mailing address

19441 NESTOR AVE
CARSON CA
90746-2609
US

V. Phone/Fax

Practice location:
  • Phone: 310-628-4739
  • Fax: 310-388-1244
Mailing address:
  • Phone: 310-628-4739
  • Fax: 310-388-1244

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. LOVETH O AMAKOR
Title or Position: OWNER/CEO
Credential:
Phone: 310-628-4739