Provider Demographics
NPI:1255223681
Name:GLORY DAYS SENIOR CARE
Entity type:Organization
Organization Name:GLORY DAYS SENIOR CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:CHELSEA
Authorized Official - Middle Name:
Authorized Official - Last Name:KLEVE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:715-404-5007
Mailing Address - Street 1:2224 E ENROSE ST
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85213-5932
Mailing Address - Country:US
Mailing Address - Phone:715-404-5007
Mailing Address - Fax:
Practice Address - Street 1:706 S GREENFIELD RD
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85206-2027
Practice Address - Country:US
Practice Address - Phone:480-999-0424
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-18
Last Update Date:2025-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services