MEDICARE: GLORIOUS HOME HEALTH CARE INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251J00000X	Nursing Care Agency
2	251E00000X	Home Health Agency	008853	TX

General Provider Information

NPI Number	:	1063526457
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GLORIOUS HOME HEALTH CARE INC.

Provider Business Mailing Address
First Line	:	329 OAKS TRL STE 95
Second Line	:
City	:	GARLAND
State	:	TX
Zip	:	75043-4092
Country	:	US
Telephone Number	:	214-607-4027
Fax Number	:	214-607-4028

Provider Business Practice Location Address
First Line	:	329 OAKS TRL STE 95
Second Line	:
City	:	GARLAND
State	:	TX
Zip	:	75043-4092
Country	:	US
Telephone Number	:	214-607-4027
Fax Number	:	214-607-4028

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MR. OWOT E OWOT
Credential	:	RN, BSN
Telephone Number	:	214-607-4027

Provider Enumeration Date	:	08/19/2006
Last Update Date	:	02/26/2026

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