GLORIOUS RESIDENTIAL HOME CARE LLC
NPI 1801419767
Community/Behavioral Health in Phoenix, AZ

Q: What is Glorious Residential Home Care LLC's NPI number?

The NPI number for Glorious Residential Home Care LLC is 1801419767. It was assigned to this organization in the NPPES registry on May 26, 2020. The provider is doing business as Glorious Residential Home Care.

Q: What is Glorious Residential Home Care LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Active since May 26, 2020

6724 S 36TH LN, PHOENIX, AZ 85041(480) 593-9652 Get Directions Write a Review

NPPES record last updated: May 26, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Glorious Residential Home Care Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GLORIOUS RESIDENTIAL HOME CARE LLC (NPI 1801419767), doing business as Glorious Residential Home Care, is a healthcare organization registered as a community/behavioral health in Phoenix, Arizona and active in the NPI registry since May 2020. The organization lists Charlesetta Ellis, Owner, as its authorized official.

NPPES Registry Identity

NPI1801419767

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameGLORIOUS RESIDENTIAL HOME CARE LLC

Location Address6724 S 36TH LNPhoenix, AZ 85041-5009

Mailing Address6724 S 36th LnPhoenix, AZ 85041-5009 · (480) 593-9652

Phone(480) 593-9652

Organization SubpartNo

Authorized OfficialCharlesetta EllisOwner · (480) 593-9652

Enumeration DateMay 26, 2020

NPPES CertifiedMay 26, 2020

✔ NPI 1801419767 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

6724 S 36TH LN, Phoenix, AZ 85041

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Other Names 1

Doing Business AsGlorious Residential Home Care

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 Glorious Residential Home Care LLC's NPI number?

The NPI number for Glorious Residential Home Care LLC is 1801419767. It was assigned to this organization in the NPPES registry on May 26, 2020. The provider is doing business as Glorious Residential Home Care.

Where is Glorious Residential Home Care LLC located?

Glorious Residential Home Care LLC is located at 6724 S 36th Ln, Phoenix, AZ 85041. The listed phone number is (480) 593-9652.

What is Glorious Residential Home Care LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Glorious Residential Home Care LLC was last updated on May 26, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.