=====================================================
General NPI Number Information
=====================================================
NPI Number | 1982525481
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | GLORY HOME CARE SERVICES
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/22/2026
-----------------------------------------------------
Last Update Date | 07/22/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1523 23RD NORTH
-----------------------------------------------------
City | COLUMBUS
-----------------------------------------------------
State | MS
-----------------------------------------------------
Zip | 39701
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 662-798-9907
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1523 23RD NORTH
-----------------------------------------------------
City | COLUMBUS
-----------------------------------------------------
State | MS
-----------------------------------------------------
Zip | 39701
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 662-798-9907
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | GLORIA DENISE SMITH
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 662-798-9907
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------