Healthcare Provider Details

I. General information

NPI: 1457089245
Provider Name (Legal Business Name): GLORY TO GLORY HOME CARE SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2022
Last Update Date: 08/26/2025
Certification Date: 08/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5750 CHESAPEAKE BLVD STE 301A
NORFOLK VA
23513-5325
US

IV. Provider business mailing address

5750 CHESAPEAKE BLVD STE 301A
NORFOLK VA
23513-5325
US

V. Phone/Fax

Practice location:
  • Phone: 757-994-4197
  • Fax:
Mailing address:
  • Phone: 757-994-4197
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name: JANICE MILES
Title or Position: OWNER/ADMINISTRATOR
Credential:
Phone: 757-994-4197