Healthcare Provider Details

I. General information

NPI: 1881510717
Provider Name (Legal Business Name): GLORY HOME CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/25/2026
Last Update Date: 07/04/2026
Certification Date: 07/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5811 MCNEES AVE
WHITTIER CA
90606-1103
US

IV. Provider business mailing address

382 N LEMON AVE # 869
WALNUT CA
91789-2344
US

V. Phone/Fax

Practice location:
  • Phone: 562-456-5015
  • Fax: 562-456-5067
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code315P00000X
TaxonomyIntellectual Disabilities Intermediate Care Facility
License Number
License Number State

VIII. Authorized Official

Name: MS. MICHELLE LEE
Title or Position: OWNER
Credential:
Phone: 213-246-6246