Organization Active NPI

Good Life Healthcare LLC

  • In Home Supportive Care Agency
  • Vienna, VA
National Provider Identifier
1346078151
Registry record updated Jul 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
GOOD LIFE HEALTHCARE LLC
Practice address
450 Maple Ave E Ste 303E
Vienna, VA 22180-4743
Phone
(301) 828-8109
NPI assigned
Jul 23, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2024

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

Authorized official

Name
Anwar Younas
Title
Program Director
Phone
(301) 828-8109

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

450 Maple Ave E Ste 303E
Vienna, VA 22180-4743

Mailing address

450 Maple Ave E Ste 303E
Vienna, VA 22180-4743
Phone (301) 828-8109

National Provider Directory

National Provider Directory

Locations

450 Maple Ave E
Ste 303E
Vienna, VA 22180
Phone (301) 828-8109

NPI Registry JSON

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

{
    "created_epoch": "1721692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721692800000",
    "number": "1346078151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 MAPLE AVE E STE 303E",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221804743",
            "telephone_number": "301-828-8109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 MAPLE AVE E STE 303E",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221804743",
            "telephone_number": "301-828-8109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD LIFE HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-23",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A",
        "authorized_official_last_name": "YOUNAS",
        "authorized_official_first_name": "ANWAR",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "301-828-8109"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vienna, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.