Glendale Chiropractic Life Center, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

GLENDALE CHIROPRACTIC LIFE CENTER, LLC

Doing business as

Glendale Wellness Center

Practice address

5654 W. Bell Rd.
Suite a
Glendale, AZ 85308

Phone

(602) 843-2730

NPI assigned

Aug 29, 2012

Last updated

Aug 29, 2012By the provider in NPPES

Organization subpart

Yes

Parent organization

GLENDALE CHIROPRACTIC LIFE CENTER, LLCAs reported in NPPES

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

Authorized official

Name

Dr. Bruce D Homsey, DCNPI 1255430021

Title

Co-Owner/Doctor

Phone

(602) 843-2730

Specialties & licenses 1

Addresses

Other names 1

• Glendale Wellness Center Doing business as

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Part of

Glendale Chiropractic Life Center LLC

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bruce Daniel Homsey, D.C.

  • Chiropractor
  • Glendale, AZ
  • NPI 1255430021
  Medicare reassignment NPD Authorized official
• Henning Handberg, D.C.

  • Chiropractor
  • Peoria, AZ
  • NPI 1992732978
  NPD (past)

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

{
    "created_epoch": "1346198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346198400000",
    "number": "1538417191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5654 W. BELL RD.",
            "address_2": "SUITE A",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "85308",
            "telephone_number": "602-843-2730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5654 W. BELL RD.",
            "address_2": "SUITE A",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "85308",
            "telephone_number": "602-843-2730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENDALE CHIROPRACTIC LIFE CENTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GLENDALE CHIROPRACTIC LIFE CENTER, LLC",
        "enumeration_date": "2012-08-29",
        "last_updated": "2012-08-29",
        "status": "A",
        "authorized_official_last_name": "HOMSEY",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CO-OWNER/DOCTOR",
        "authorized_official_telephone_number": "602-843-2730",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Glendale Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michele L Gist, P.T.
• Kelli Gladieux, SPEECH PATHOLOGIST
• Angela Glaubke, M.S.
• David Gleghorn
• Glencroft Towers I, Inc.
• Glendale Dental and Orthodontics (Rodeo Dental and Orthodontics)
• Glendale Dental Associates LLC
• Glendale Dental Group, L.T.D.
• Glendale Dental Smiles
• Glendale Elementary School District #40

• Chiropractor in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Chiropractor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.