A GLORIOUS PLACE LLC
NPI 1043952880
Nurse Practitioner - Psychiatric/Mental Health in Ellicott City, MD
About A Glorious Place Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
A GLORIOUS PLACE LLC (NPI 1043952880) is a healthcare organization registered as a psychiatric/mental health in Ellicott City, Maryland and active in the NPI registry since April 2022. The organization maintains a secondary practice location in Washington and lists Glory Tataw, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 4
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
A Glorious Place Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to A Glorious Place LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is A Glorious Place LLC's NPI number?
The NPI number for A Glorious Place LLC is 1043952880. It was assigned to this organization in the NPPES registry on April 12, 2022.
Where is A Glorious Place LLC located?
A Glorious Place LLC is located at 3203A Corporate Ct, Ellicott City, MD 21042. The listed phone number is (410) 205-2458.
What is A Glorious Place LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is A Glorious Place LLC enrolled in Medicare?
Yes. A Glorious Place LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through A Glorious Place LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to A Glorious Place LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for A Glorious Place LLC was last updated on February 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# A Glorious Place Llc · NPI 1043952880
Psychiatric/Mental Health organization in Ellicott City, Maryland. Organization record, active in the CMS NPPES registry since April 12, 2022.
## Identity
- **NPI:** 1043952880 (Entity type: Organization)
- **Enumerated:** April 12, 2022
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **Organization subpart:** No
- **Authorized official:** Glory Tataw, CEO
## Practice location
- **Address:** 3203A CORPORATE CT, Ellicott City, MD 21042-2247
- **Phone:** (410) 205-2458
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 21, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1043952880) · Data from the CMS NPPES public registry.