Good Vibes Family Care Company, LLC

Primary specialty

Respite CareTaxonomy code 385H00000X

Legal business name

GOOD VIBES FAMILY CARE COMPANY, LLC

Doing business as

Good Vibes
Good Vibes FCC

Practice address

11220 W Burleigh St # M101
Milwaukee, WI 53222-3213

Phone

(262) 305-9254

Fax

(262) 786-7758

NPI assigned

Apr 13, 2022

Last updated

Jun 29, 2023By 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

Joclyn A Cooks

Title

Owner/ Care Director

Phone

(262) 894-9554

Specialties & licenses 5

Addresses

Other names 2

• Good Vibes Doing business as
• Good Vibes FCC Doing business as

Locations

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

{
    "created_epoch": "1649808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687996800000",
    "number": "1184366676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 W FREISTADT RD UNIT 371",
            "city": "THIENSVILLE",
            "state": "WI",
            "postal_code": "530924018",
            "telephone_number": "262-305-9254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11220 W BURLEIGH ST # M101",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532223213",
            "telephone_number": "262-305-9254",
            "fax_number": "262-786-7758"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5700 N Bayshore Dr",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "WI",
            "postal_code": "532174518",
            "country_code": "US",
            "telephone_number": "262-305-9254",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GOOD VIBES FAMILY CARE COMPANY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-13",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-29",
        "status": "A",
        "authorized_official_last_name": "COOKS",
        "authorized_official_first_name": "JOCLYN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/ CARE DIRECTOR",
        "authorized_official_telephone_number": "262-894-9554"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Good Vibes",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Good Vibes",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Good Vibes FCC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Respite Care in Milwaukee, WI
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2023; 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.