Good Living Adult Family Home LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

GOOD LIVING ADULT FAMILY HOME LLC

Practice address

16054 123Rd Ave SE
Renton, WA 98058-5539

Phone

(425) 207-8685

Fax

(425) 207-8685

NPI assigned

Jun 21, 2023

Organization subpart

No

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

Authorized official

Name

Grace Waiharo

Title

Provider

Phone

(425) 207-8685

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1687305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687305600000",
    "number": "1124703657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16054 123RD AVE SE",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980585539",
            "telephone_number": "425-207-8685",
            "fax_number": "425-207-8685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16054 123RD AVE SE",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980585539",
            "telephone_number": "425-207-8685",
            "fax_number": "425-207-8685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD LIVING ADULT FAMILY HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-21",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "status": "A",
        "authorized_official_last_name": "WAIHARO",
        "authorized_official_first_name": "GRACE",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "425-207-8685"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cindy Arriola Gonzalez, LICSW
• Cristina Julia Gonzalez, PHARM.D.
• Mario Gonzalez Jr.
• Omar J Gonzalez, PA-C
• Natalie Goobes
• Good Shepherd Medical Services LLC
• Good Shepherd Medical Services LLC
• Alaina Kay Goodman, M.A., LMHC
• Jeffrey J Goon, PA-C
• Hanvir Kaur Goraya, RN

• Home Health Agency in Renton, WA
• Providers in Renton, WA by specialty
• Home Health Agency in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.