Organization Active NPI

Goodlife Support Services, LLC

  • Community/Behavioral Health Agency
  • Orlando, FL
National Provider Identifier
1386273555
Registry record updated May 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
GOODLIFE SUPPORT SERVICES, LLC
Practice address
6917 Narcoossee Rd Ste 728
Orlando, FL 32822-7002
Phone
(407) 437-9964
NPI assigned
Apr 8, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2021

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

Authorized official

Name
Maria del Pilar Gil
Title
Ceo
Phone
(407) 437-9964

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

6917 Narcoossee Rd Ste 728
Orlando, FL 32822-7002

Mailing address

6917 Narcoossee Rd Ste 728
Orlando, FL 32822-7002
Phone (407) 437-9964

National Provider Directory

National Provider Directory

Locations

6917 Narcoossee Rd
Ste 728
Orlando, FL 32822
Phone (407) 437-9964

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1586304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620604800000",
    "number": "1386273555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6917 NARCOOSSEE RD STE 728",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328227002",
            "telephone_number": "407-437-9964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6917 NARCOOSSEE RD STE 728",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328227002",
            "telephone_number": "407-437-9964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODLIFE SUPPORT SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-08",
        "last_updated": "2021-05-10",
        "certification_date": "2021-05-10",
        "status": "A",
        "authorized_official_last_name": "GIL",
        "authorized_official_first_name": "MARIA DEL PILAR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "407-437-9964"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2021; 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.