GLM House Inc

Primary specialty

Lodging ProviderTaxonomy code 177F00000X

Legal business name

GLM HOUSE INC

Practice address

4101 University Ave
San Diego, CA 92105-1418

Phone

(858) 609-9073

NPI assigned

Mar 27, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Amelia BroadnaxNPI 1851672075

Title

Executive Director

Phone

(858) 609-9073

Specialties & licenses 1

Addresses

Other names 1

• GLM House Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amelia Lillian Broadnax

  • Case Manager/Care Coordinator
  • San Diego, CA
  • NPI 1851672075
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1743033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743033600000",
    "number": "1104628221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1933",
            "city": "LEMON GROVE",
            "state": "CA",
            "postal_code": "919461933",
            "telephone_number": "858-609-9073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 UNIVERSITY AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921051418",
            "telephone_number": "858-609-9073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLM HOUSE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-27",
        "last_updated": "2025-03-27",
        "certification_date": "2025-03-17",
        "status": "A",
        "authorized_official_last_name": "BROADNAX",
        "authorized_official_first_name": "AMELIA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "858-609-9073",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "177F00000X",
            "taxonomy_group": "",
            "desc": "Lodging",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GLM House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lianna Tal Gliksman
• Katelyn Glimme
• Marisa Glisan, LMFT102149
• Tatiana Glisovich
• Meredith A Glivar, AGACNP-BC
• Torrey Gload, BS
• Global Communities
• Global Health Works
• Global Laser Vision Medical Center
• Nancy Glober, MD

• Lodging Provider in San Diego, CA
• Providers in San Diego, CA by specialty
• Lodging Provider in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.