A GLORIOUS PLACE LLC
NPI 1043952880
Nurse Practitioner - Psychiatric/Mental Health in Ellicott City, MD

NPI Status: Active since April 12, 2022

Contact Information

3203A CORPORATE CT
ELLICOTT CITY, MD
ZIP 21042
Phone: (410) 205-2458

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  • Organization
  • Nurse Practitioner
  • Psychiatric/Mental Health

About A GLORIOUS PLACE LLC

This page provides the complete NPI Profile along with additional information for A Glorious Place Llc, a provider established in Ellicott City, Maryland operating as a Nurse Practitioner, focusing in psychiatric/mental health . The healthcare provider is registered in the NPI registry with number 1043952880 assigned on April 2022. The practitioner's primary taxonomy code is 363LP0808X. The provider is registered as an organization and their NPI record was last updated February 2025. The authorized official of this NPI record is Glory Tataw (Ceo)

NPI
1043952880
Provider Name
A GLORIOUS PLACE LLC
Entity Type
Organization
Location Address
3203A CORPORATE CT ELLICOTT CITY, MD 21042
Location Phone
(410) 205-2458
Mailing Address
3203A CORPORATE CT ELLICOTT CITY, MD 21042
Mailing Phone
(410) 696-2645
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-12-2022
Last Update Date
02-21-2025
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A nurse practitioner (NP) like A Glorious Place Llc is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Secondary Locations

  • 1629 K St NW Ste 300
    Washington, DC 20006
    (410) 696-2645

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Psychiatric/Mental Health

Taxonomy Code
363LP0808X
Type
Physician Assistants & Advanced Practice Nursing Providers

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261QM0801XAmbulatory Health Care Facilities

Clinic/Center
Mental Health (Including Community Mental Health Center)

 
2261QR0405XAmbulatory Health Care Facilities

Clinic/Center
Rehabilitation, Substance Use Disorder

 
3323P00000XResidential Treatment Facilities

Psychiatric Residential Treatment Facility

 

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

GLORY TATAW

Authorized Official Title
CEO
Authorized Official Phone
(410) 696-2645

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1043952880
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20831854816
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 8 + 3 + 1 + 8 + 5 + 4 + 8 + 1 + 6 + 24 = 70
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1043952880 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1033782115 GLORY TATAW
Individual
Nurse Practitioner (Psychiatric/Mental Health)3203A CORPORATE CT
ELLICOTT CITY, MD 21042
(410) 205-2458

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1043952880, enumerated in the NPI registry as an "organization" on April 12, 2022

The provider is located at 3203a Corporate Ct Ellicott City, Md 21042 and the phone number is (410) 205-2458

This medical organization specializes in Nurse Practitioner with taxonomy code 363LP0808X with a focus in Psychiatric/Mental Health

This NPI record was last updated on April 12, 2022. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.