Provider Demographics
NPI:1912441536
Name:GLOWING HEATS IN HOME SERVICES, LLC
Entity Type:Organization
Organization Name:GLOWING HEATS IN HOME SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LAHOMA
Authorized Official - Middle Name:
Authorized Official - Last Name:NEWSOM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:573-643-2537
Mailing Address - Street 1:511 E ELM ST
Mailing Address - Street 2:PO BOX 373
Mailing Address - City:MARSTON
Mailing Address - State:MO
Mailing Address - Zip Code:63866
Mailing Address - Country:US
Mailing Address - Phone:573-643-2537
Mailing Address - Fax:573-643-2519
Practice Address - Street 1:511 E ELM ST
Practice Address - Street 2:
Practice Address - City:MARSTON
Practice Address - State:MO
Practice Address - Zip Code:63866
Practice Address - Country:US
Practice Address - Phone:573-643-2537
Practice Address - Fax:573-643-2519
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-16
Last Update Date:2016-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care