A Good Life Assisted Living LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

A GOOD LIFE ASSISTED LIVING LLC

Practice address

731 Hollen Rd
Baltimore, MD 21212-2717

Phone

(443) 493-7577

NPI assigned

May 5, 2021

Last updated

May 5, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Aaron Payne

Title

Director

Phone

(443) 493-7577

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1620172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620172800000",
    "number": "1124601273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "731 HOLLEN RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212122717",
            "telephone_number": "443-493-7577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "731 HOLLEN RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212122717",
            "telephone_number": "443-493-7577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A GOOD LIFE ASSISTED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-05",
        "last_updated": "2021-05-05",
        "certification_date": "2021-05-05",
        "status": "A",
        "authorized_official_last_name": "PAYNE",
        "authorized_official_first_name": "AARON",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "443-493-7577"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "731HollenRd",
            "affiliation": "N",
            "address_1": "731 Hollen Rd",
            "city": "Baltimore",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212122717",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2021; 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.