Goodlife Homecare Services, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

GOODLIFE HOMECARE SERVICES, LLC

Practice address

533 Windsor Park Dr
100
Dayton, OH 45459-4112

Phone

(937) 626-8038

Fax

(877) 715-2335

NPI assigned

May 12, 2017

Organization subpart

No

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

Authorized official

Name

Elise Ramey

Title

Administrator

Phone

(937) 626-8038

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1494547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494547200000",
    "number": "1427585124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "533 WINDSOR PARK DR",
            "address_2": "100",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454594112",
            "telephone_number": "937-626-8038",
            "fax_number": "877-715-2335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "533 WINDSOR PARK DR",
            "address_2": "100",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454594112",
            "telephone_number": "937-626-8038",
            "fax_number": "877-715-2335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODLIFE HOMECARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-12",
        "last_updated": "2017-05-12",
        "status": "A",
        "authorized_official_last_name": "RAMEY",
        "authorized_official_first_name": "ELISE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "937-626-8038"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0205531",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Patrick Goodpaster

• In Home Supportive Care Agency in Dayton, OH
• Providers in Dayton, OH by specialty
• In Home Supportive Care Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2017; 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.