Healthcare Provider Details

I. General information

NPI: 1740947399
Provider Name (Legal Business Name): GLORIFIED NURSING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/18/2021
Last Update Date: 06/15/2023
Certification Date: 06/15/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1821 SUMMIT RD STE 116
CINCINNATI OH
45237-2818
US

IV. Provider business mailing address

1821 SUMMIT RD STE 116
CINCINNATI OH
45237-2818
US

V. Phone/Fax

Practice location:
  • Phone: 513-376-9207
  • Fax:
Mailing address:
  • Phone: 513-376-9207
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State

VIII. Authorized Official

Name: TAMARA HUDSON
Title or Position: OWNER
Credential: LPN
Phone: 513-376-9207