MEDICARE: GLORY HOME HEALTH, 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	251E00000X	Home Health Agency	381828	MN

General Provider Information

NPI Number	:	1285157768
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GLORY HOME HEALTH, INC

Provider Business Mailing Address
First Line	:	1913 BROADWAY ST NE
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55413-2627
Country	:	US
Telephone Number	:	612-354-7791
Fax Number	:	612-886-2567

Provider Business Practice Location Address
First Line	:	1913 BROADWAY ST NE STE 100
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55413-2627
Country	:	US
Telephone Number	:	612-354-7791
Fax Number	:	612-886-2567

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	NASRO MOHAMED
Credential	:	RN
Telephone Number	:	612-707-0905

Provider Enumeration Date	:	07/17/2017
Last Update Date	:	10/11/2018

Similar Medicare Providers

1942911631 — HANI HASSAN
Practice Location Address:

1913 BROADWAY ST NE STE 100
MINNEAPOLIS, MN
55413-2627

Practice Phone: 763-353-0763
Practice Fax: 763-260-9898

1831033497 — MARWO MOHAMED
Practice Location Address:

1913 BROADWAY ST NE # 100
MINNEAPOLIS, MN
55413-2627

Practice Phone: 763-353-0763
Practice Fax:

1336083906 — BARWAKA HASSAN SAMATAR
Practice Location Address:

1913 BROADWAY ST NE # 100
MINNEAPOLIS, MN
55413-2627

Practice Phone: 763-353-0763
Practice Fax:

1609564822 — FIRST CHOICE AUTISM SERVICES INC
Practice Location Address:

1913 BROADWAY ST NE
MINNEAPOLIS, MN
55413-2627

Practice Phone: 952-657-9064
Practice Fax:

1346069093 — RISE AUTISM LLC
Practice Location Address:

1913 BROADWAY ST NE STE 100
MINNEAPOLIS, MN
55413-2627

Practice Phone: 763-353-0763
Practice Fax: 763-260-9898

1114895653 — AMINA SALAD ALI
Practice Location Address:

1913 BROADWAY ST NE STE 100
MINNEAPOLIS, MN
55413-2627

Practice Phone: 763-353-0763
Practice Fax: 763-260-9898

Directions to “GLORY HOME HEALTH, INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.