NPIMap

Organization Active NPI

Good Life Homecare LLC

Doing business as Nurse Next Door

  • In Home Supportive Care Agency
  • Crete, NE
National Provider Identifier
1316513872
Registry record updated Dec 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
GOOD LIFE HOMECARE LLC
Doing business as
Nurse Next Door
Practice address
318 E 13TH St Apt 1
Crete, NE 68333-2231
Phone
(402) 601-8036
NPI assigned
Jun 3, 2021
Last updated
Dec 26, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2023

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

Authorized official

Name
Angelica DiazNPI 1336715887
Title
Owner
Phone
(402) 601-8036

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU
In Home Supportive Care Agency 253Z00000X NU Primary

Addresses

Primary practice location

318 E 13TH St Apt 1
Crete, NE 68333-2231

Mailing address

318 E 13TH St Apt 1
Crete, NE 68333-2231
Phone (402) 601-8036

Other names 1

  • Nurse Next Door Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Good Life Homecare LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the 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": "1622678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703548800000",
    "number": "1316513872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 E 13TH ST APT 1",
            "city": "CRETE",
            "state": "NE",
            "postal_code": "683332231",
            "telephone_number": "402-601-8036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 E 13TH ST APT 1",
            "city": "CRETE",
            "state": "NE",
            "postal_code": "683332231",
            "telephone_number": "402-601-8036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD LIFE HOMECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-03",
        "last_updated": "2023-12-26",
        "certification_date": "2023-12-26",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "ANGELICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-601-8036"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nurse Next Door",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Nurse Next Door",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Crete, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 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.