NPIMap

Organization Active NPI

Good Life Health Services Inc

  • Long Term Care Pharmacy
  • Ord, NE
National Provider Identifier
1447359559
Registry record updated Jun 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
2334 Issued in NE
Legal business name
GOOD LIFE HEALTH SERVICES INC
Practice address
125 S 16TH St Ste a
Ord, NE 68862
Phone
(308) 728-3295
Fax
(308) 728-3296
NPI assigned
Sep 22, 2006
Last updated
Jun 1, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2018

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

Authorized official

Name
Angie Svoboda, PHARM D, BCPS
Title
Owner/Pharmacist
Phone
(308) 728-3295

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility Supplies (DME) 332BN1400X NU
Pharmacy 333600000X NU
Long Term Care Pharmacy 3336L0003X 2334 NE Primary

Addresses

Primary practice location

125 S 16TH St Ste a
Ord, NE 68862

Mailing address

127 S 16TH St
Ord, NE 68862-1415
Phone (308) 728-3295

Other identifiers 1

IdentifierTypeStateIssuer
2055422OtherPK

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Good Life Health Services125 S 16TH, Ord, NE 68862(308) 728-3295 Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Canes and/or Crutches|Walkers|Wheelchairs (Standard Manual)|Nebulizer Equipment and/or Supplies|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom Does not accept assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory
Tax ID family
Good Life Health Services Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

125 S 16th St
Ste A
Ord, NE 68862
Phone (308) 728-3295

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527811200000",
    "number": "1447359559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 S 16TH ST",
            "city": "ORD",
            "state": "NE",
            "postal_code": "688621415",
            "telephone_number": "308-728-3295",
            "fax_number": "308-728-3296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 S 16TH ST STE A",
            "city": "ORD",
            "state": "NE",
            "postal_code": "68862",
            "telephone_number": "308-728-3295",
            "fax_number": "308-728-3296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD LIFE HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2018-06-01",
        "status": "A",
        "authorized_official_last_name": "SVOBODA",
        "authorized_official_first_name": "ANGIE",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "308-728-3295",
        "authorized_official_credential": "PHARM D, BCPS"
    },
    "taxonomies": [
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NE",
            "license": "2334",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2055422",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ord, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.