Good Life at Home Care, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

152274 Issued in OR

Legal business name

GOOD LIFE AT HOME CARE, LLC

Practice address

1744 E McAndrews Rd Ste I
Medford, OR 97504-5576

Phone

(541) 646-7151

Fax

(541) 494-0910

NPI assigned

May 25, 2016

Last updated

May 25, 2016By 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

Michael Joseph Cobb

Title

Ceo

Phone

(541) 646-7151

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1464134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464134400000",
    "number": "1578911012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1744 E MCANDREWS RD STE I",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975045576",
            "telephone_number": "541-646-7151",
            "fax_number": "541-494-0910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1744 E MCANDREWS RD STE I",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975045576",
            "telephone_number": "541-646-7151",
            "fax_number": "541-494-0910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD LIFE AT HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-25",
        "last_updated": "2016-05-25",
        "status": "A",
        "authorized_official_last_name": "COBB",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "541-646-7151"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "OR",
            "license": "152274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paola Guadalupe Gonzalez-Guizar
• Cynthia Gonzalez
• Noel Eliazar Gonzalez
• Good Health Direct Primary Care LLC
• Good Health Direct Primary Care LLC
• Rebecca Ann Good, MOT, OTR/L, CLT
• True Christian Goodness I, QHMA
• Amy Renee Goodwin
• Jennifer Goodwine, LMT
• Goodwork Services, LLC

• In Home Supportive Care Agency in Medford, OR
• Providers in Medford, OR by specialty
• In Home Supportive Care Agency in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2016; 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.