Provider Demographics
NPI:1487804746
Name:GLAD HOME HEALTH INC
Entity type:Organization
Organization Name:GLAD HOME HEALTH INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/DIRECTOR OF NURSING
Authorized Official - Prefix:MS
Authorized Official - First Name:GLADYS
Authorized Official - Middle Name:E
Authorized Official - Last Name:TAMBONG
Authorized Official - Suffix:
Authorized Official - Credentials:REGISTERED NURSE
Authorized Official - Phone:214-383-5815
Mailing Address - Street 1:600 HANOVER DR
Mailing Address - Street 2:
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75002-4774
Mailing Address - Country:US
Mailing Address - Phone:214-383-5815
Mailing Address - Fax:214-495-0337
Practice Address - Street 1:600 HANOVER DR
Practice Address - Street 2:
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75002-4774
Practice Address - Country:US
Practice Address - Phone:214-383-5815
Practice Address - Fax:214-495-0337
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-23
Last Update Date:2015-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health