Provider Demographics
NPI:1922417484
Name:GLO HEALTHCARE SERVICES
Entity Type:Organization
Organization Name:GLO HEALTHCARE SERVICES
Other - Org Name:OPEN DOOR HEALTHCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:GLORIA
Authorized Official - Middle Name:
Authorized Official - Last Name:ADJEI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-205-8381
Mailing Address - Street 1:6168 HUCKLEBERRY LN
Mailing Address - Street 2:
Mailing Address - City:LIBERTY TWP
Mailing Address - State:OH
Mailing Address - Zip Code:45011-9392
Mailing Address - Country:US
Mailing Address - Phone:513-205-8381
Mailing Address - Fax:
Practice Address - Street 1:6168 HUCKLEBERRY LN
Practice Address - Street 2:
Practice Address - City:LIBERTY TWP
Practice Address - State:OH
Practice Address - Zip Code:45011-9392
Practice Address - Country:US
Practice Address - Phone:513-205-8381
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-09
Last Update Date:2014-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2189243253Z00000X, 343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)