Organization Active NPI

Good Life Home Care of Arizona LLC

  • Home Health Agency
  • Scottsdale, AZ
National Provider Identifier
1407107246
Registry record updated Sep 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
GOOD LIFE HOME CARE OF ARIZONA LLC
Practice address
7373 N Scottsdale Rd
Suite 270-B
Scottsdale, AZ 85253-3559
Phone
(831) 915-6255
NPI assigned
Sep 19, 2012
Last updated
Sep 19, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2012

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

Authorized official

Name
Mr. Matthew Bowersox
Title
Coo
Phone
(831) 915-6255

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X AZ Primary

Addresses

Primary practice location

7373 N Scottsdale Rd
Suite 270-B
Scottsdale, AZ 85253-3559

Mailing address

7373 N Scottsdale Rd
Suite 270-B
Scottsdale, AZ 85253-3559

National Provider Directory

National Provider Directory

Locations

7373 N Scottsdale Rd
Ste B270
Scottsdale, AZ 85253
Phone (831) 915-6255

7373 N Scottsdale Rd
Ste D200
Scottsdale, AZ 85253
Phone (831) 915-6255

NPI Registry JSON

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

{
    "created_epoch": "1348012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348012800000",
    "number": "1407107246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7373 N SCOTTSDALE RD",
            "address_2": "SUITE 270-B",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852533559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7373 N SCOTTSDALE RD",
            "address_2": "SUITE 270-B",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852533559",
            "telephone_number": "831-915-6255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD LIFE HOME CARE OF ARIZONA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-19",
        "last_updated": "2012-09-19",
        "status": "A",
        "authorized_official_last_name": "BOWERSOX",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "831-915-6255",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2012; 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.