Goodlife Healthcare Services

Primary specialty

Pediatric Skilled Nursing FacilityTaxonomy code 3140N1450X

License

672190 Issued in CA

Legal business name

GOODLIFE HEALTHCARE SERVICES

Doing business as

Goodlife HealthCare Services

Practice address

14719 Hawthorne Blvd
Suite 201
Lawndale, CA 90260-1544

Phone

(310) 219-2889

Fax

(310) 219-2891

NPI assigned

Feb 14, 2013

Last updated

Feb 14, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gladys Ogunkah, RN, BSNNPI 1154767275

Title

Ceo

Phone

(310) 219-2889

Specialties & licenses 1

Addresses

Other names 1

• Goodlife HealthCare Services Doing business as

Tax ID family

Doral Recovery Center Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Doral Recovery Center, Inc

  • Health Service Clinic/Center
  • Doral, FL
  • NPI 1427390889
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gladys Ogunkah, RN

  • General Practice Registered Nurse
  • Lawndale, CA
  • NPI 1154767275
  NPD (past) Authorized official

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

{
    "created_epoch": "1360800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360800000000",
    "number": "1548500382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14719 HAWTHORNE BLVD",
            "address_2": "SUITE 201",
            "city": "LAWNDALE",
            "state": "CA",
            "postal_code": "902601544",
            "telephone_number": "310-219-2889",
            "fax_number": "310-219-2889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14719 HAWTHORNE BLVD",
            "address_2": "SUITE 201",
            "city": "LAWNDALE",
            "state": "CA",
            "postal_code": "902601544",
            "telephone_number": "310-219-2889",
            "fax_number": "310-219-2891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODLIFE HEALTHCARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-14",
        "last_updated": "2013-02-14",
        "status": "A",
        "authorized_official_last_name": "OGUNKAH",
        "authorized_official_first_name": "GLADYS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-219-2889",
        "authorized_official_credential": "RN, BSN"
    },
    "taxonomies": [
        {
            "code": "3140N1450X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
            "state": "CA",
            "license": "672190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Goodlife HealthCare Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Garfield Beach CVS, L.L.C. (CVS Pharmacy # 07191)
• George J Meza Licensed Clinical Social Workers Inc. (Meza Mental Health Services)
• Lorena Louis Gertsch
• Simon Reyes Go, D.C.
• John Gonzalez
• Goretti Health Services Inc.
• Gabriella Goshtigian
• Risa Beth Grand, M.D.
• Virginia C. Green, PHD
• Mary Josephine Greendale, LVN

• Pediatric Skilled Nursing Facility in Lawndale, CA
• Providers in Lawndale, CA by specialty
• Pediatric Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2013; 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.