GLORIOUS GLOBAL OUTREACH NPI 1144523903

NPI Information

NPI: 1144523903
Provider Name: GLORIOUS GLOBAL OUTREACH
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
38025 HERMAN ST
ROMULUS, MI
ZIP 48174
Phone: (313) 740-1653
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GLORIOUS GLOBAL OUTREACH is an assisted living facility in Romulus, MI. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. GLORIOUS GLOBAL OUTREACH NPI is 1144523903. The provider is registered as an organization entity type.

The provider's business location address is:

38025 HERMAN ST
ROMULUS, MI
ZIP 48174-365
Phone: (313) 740-1653

The provider's authorized official is Beverly Jean Rozier .
The authorized official title is Owner and has the following contact phone number (313) 740-1653.

The enumeration date for this NPI number is 12/15/2010 and was last updated on 12/23/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	3104A0625X	Assisted Living Facility	Assisted Living, Mental Illness	AS8200305818	MICHIGAN	No
2	310500000X	Intermediate Care Facility, Mental Illness		AS8200305818	MICHIGAN	No
3	311ZA0620X	Custodial Care Facility	Adult Care Home	AS8200305818	MICHIGAN	No
4	315P00000X	Intermediate Care Facility, Intellectual Disabilities		AS8200305818	MICHIGAN	No
5	310400000X	Assisted Living Facility			MICHIGAN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	310500000X	MEDICAID	MICHIGAN
2	315900000X	MEDICARE OSCAR/CERTIFICATION	MICHIGAN
3	101YP1600X	MEDICARE OSCAR/CERTIFICATION	MICHIGAN
4	315900000X	MEDICAID	MICHIGAN
5	310400000X	MEDICAID	MICHIGAN
6	101YP1600X	MEDICAID	MICHIGAN
7	310500000X	MEDICARE OSCAR/CERTIFICATION	MICHIGAN
8	310400000X	MEDICARE OSCAR/CERTIFICATION	MICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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