Organization Active NPI

CHR Mobile Wound Care LLC

  • Medical Specialty Clinic/Center
  • Glendale, AZ
National Provider Identifier
1689496622
Registry record updated Apr 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
CHR MOBILE WOUND CARE LLC
Practice address
7116 N 73Rd Dr
Glendale, AZ 85303-2569
Phone
(860) 806-0653
NPI assigned
Oct 30, 2024
Last updated
Apr 23, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2026

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

Authorized official

Name
Shirley T Baker
Title
Credentialing
Phone
(602) 380-9644

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

7116 N 73Rd Dr
Glendale, AZ 85303-2569

Mailing address

7116 N 73Rd Dr
Glendale, AZ 85303-2569
Phone (860) 806-0653

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1730246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776902400000",
    "number": "1689496622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7116 N 73RD DR",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853032569",
            "telephone_number": "860-806-0653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7116 N 73RD DR",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853032569",
            "telephone_number": "860-806-0653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHR MOBILE WOUND CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-30",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "SHIRLEY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "602-380-9644"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2026; 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.