Good Life at Home Care, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

GOOD LIFE AT HOME CARE, LLC

Practice address

911 S Parsons Ave Ste C
Brandon, FL 33511-6042

Phone

(813) 438-6306

NPI assigned

Jun 3, 2019

Last updated

Oct 31, 2024By 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

Michael Cobb

Title

Ceo

Phone

(541) 840-9264

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1559520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730332800000",
    "number": "1174181259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 APOLLO BEACH BLVD",
            "city": "APOLLO BEACH",
            "state": "FL",
            "postal_code": "33572",
            "telephone_number": "813-438-6306",
            "fax_number": "813-502-6322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 S PARSONS AVE STE C",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335116042",
            "telephone_number": "813-438-6306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD LIFE AT HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-03",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-25",
        "status": "A",
        "authorized_official_last_name": "COBB",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "541-840-9264"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Viviana Solange Gonzalez, PA-C
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• Yasmin G Gonzalez
• Yezenia Gonzalez, M.S.W.
• Gonzalo Mosquera MD LLC
• Good Shepherd Alf
• Good Shepherd Assisted Living Facility of Brandon LLC
• Tamisha Good, RN
• Mohammad Goodarzi, DMD
• Madison Goodman

• Home Health Agency in Brandon, FL
• Providers in Brandon, FL by specialty
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2024; 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.