Healthcare Provider Details

I. General information

NPI: 1700715604
Provider Name (Legal Business Name): GLORIOUS COMPASSION HOMES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/16/2026
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1024 PINEVIEW LN
CROWLEY TX
76036-2885
US

IV. Provider business mailing address

1024 PINEVIEW LN
CROWLEY TX
76036-2885
US

V. Phone/Fax

Practice location:
  • Phone: 737-367-8433
  • Fax: 737-367-8433
Mailing address:
  • Phone: 737-367-8433
  • Fax: 737-367-8433

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code315P00000X
TaxonomyIntellectual Disabilities Intermediate Care Facility
License Number
License Number StateNULL
# 5
Primary TaxonomyN
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number StateNULL

VIII. Authorized Official

Name: SAMUEL MUMO MUITINDA
Title or Position: OWNER
Credential: MANAGER
Phone: 737-367-8433