GLORYLAND HEALTHCARE SERVICES, LLC
NPI 1811452907
Clinic/Center - Primary Care in Tulsa, OK

Active since February 04, 2019
1312 S GARNETT RD, TULSA, OK 74128(918) 203-3164(918) 203-3163 Get Directions Write a Review

NPPES record last updated: February 4, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Gloryland Healthcare Services, Llc NPPES

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

GLORYLAND HEALTHCARE SERVICES, LLC (NPI 1811452907) is a healthcare organization registered as a primary care in Tulsa, Oklahoma and active in the NPI registry since February 2019. The organization lists Augustina Agadagba, Owner, as its authorized official.

NPPES Registry Identity

NPI1811452907
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameGLORYLAND HEALTHCARE SERVICES, LLC
Location Address1312 S GARNETT RDTulsa, OK 74128-1811
Mailing Address909 S Aster AveBroken Arrow, OK 74012-8832 · (918) 813-0511
Fax(918) 203-3163
Organization SubpartNo
Authorized OfficialAugustina AgadagbaOwner · (918) 813-0511
Enumeration DateFebruary 4, 2019
NPI 1811452907 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
1312 S GARNETT RD, Tulsa, OK 74128

Other Identifiers 1

Medicaid200498000AOK

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Home Health
1312 S GARNETT RD, SUITE A & B
TULSA, OK 74128
Nurse Practitioner (Family)
1312 S GARNETT RD, SUITE E
TULSA, OK 74128
Home Health
1312 S GARNETT RD, SUITE A
TULSA, OK 74128
Nurse Practitioner (Family)
1312 S GARNETT RD, STE E
TULSA, OK 74128

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 Gloryland Healthcare Services, LLC's NPI number?

The NPI number for Gloryland Healthcare Services, LLC is 1811452907. It was assigned to this organization in the NPPES registry on February 4, 2019.

Where is Gloryland Healthcare Services, LLC located?

Gloryland Healthcare Services, LLC is located at 1312 S Garnett Rd, Tulsa, OK 74128. The listed phone number is (918) 203-3164.

What is Gloryland Healthcare Services, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Gloryland Healthcare Services, LLC was last updated on February 4, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.