Provider Demographics
NPI:1841593449
Name:A1 BRINGING GLORY HOME SERVICES LLC
Entity Type:Organization
Organization Name:A1 BRINGING GLORY HOME SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:GLORIA
Authorized Official - Middle Name:J
Authorized Official - Last Name:MCGREGOR
Authorized Official - Suffix:
Authorized Official - Credentials:CEO
Authorized Official - Phone:317-757-6004
Mailing Address - Street 1:5610 CRAWFORDSVILLE RD BUILDING 9 SUITE 912
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46224-3714
Mailing Address - Country:US
Mailing Address - Phone:317-757-6004
Mailing Address - Fax:317-757-6004
Practice Address - Street 1:5610 CRAWFORDSVILLE RD BUILDING 9 SUITE 912
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46224-3714
Practice Address - Country:US
Practice Address - Phone:317-757-6004
Practice Address - Fax:317-757-6004
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-21
Last Update Date:2020-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN10-012481-1253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care