Healthcare Provider Details

I. General information

NPI: 1205336443
Provider Name (Legal Business Name): GLAD HEALTHCARE SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/14/2018
Last Update Date: 02/14/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

715 VALLEY RIDGE DR
ROSENBERG TX
77469-4992
US

IV. Provider business mailing address

715 VALLEY RIDGE DR
ROSENBERG TX
77469-4992
US

V. Phone/Fax

Practice location:
  • Phone: 832-880-3884
  • Fax:
Mailing address:
  • Phone: 832-880-3884
  • 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 Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code3104A0625X
TaxonomyAssisted Living Facility (Mental Illness)
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code315D00000X
TaxonomyInpatient Hospice
License Number
License Number State

VIII. Authorized Official

Name: GLADYS ONYEDINMA
Title or Position: DIRECTOR
Credential:
Phone: 832-880-3884