Organization Active NPI

Goodlife Senior Living Management Company, Inc

  • Assisted Living Facility
  • Ruidoso, NM
National Provider Identifier
1588300503
Registry record updated May 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
GOODLIFE SENIOR LIVING MANAGEMENT COMPANY, INC
Practice address
108 Vision Dr
Ruidoso, NM 88345-6350
Phone
(575) 315-0758
NPI assigned
May 11, 2022
Last updated
May 11, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2022

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

Authorized official

Name
Ms. Natalie Anne Carr
Title
HR & Finance Director
Phone
(210) 823-2936

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

108 Vision Dr
Ruidoso, NM 88345-6350

Mailing address

PO Box 1278
Ruidoso, NM 88355-1278
Phone (575) 630-0180

Other names 1

  • Goodlife Senior Living and Memory Care Other name

National Provider Directory

National Provider Directory

Locations

108 Vision Dr
Ruidoso, NM 88345
Phone (575) 315-0758

NPI Registry JSON

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

{
    "created_epoch": "1652227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652227200000",
    "number": "1588300503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1278",
            "city": "RUIDOSO",
            "state": "NM",
            "postal_code": "883551278",
            "telephone_number": "575-630-0180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 VISION DR",
            "city": "RUIDOSO",
            "state": "NM",
            "postal_code": "883456350",
            "telephone_number": "575-315-0758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODLIFE SENIOR LIVING MANAGEMENT COMPANY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-11",
        "last_updated": "2022-05-11",
        "certification_date": "2022-05-11",
        "status": "A",
        "authorized_official_last_name": "CARR",
        "authorized_official_first_name": "NATALIE",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "HR & FINANCE DIRECTOR",
        "authorized_official_telephone_number": "210-823-2936",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Goodlife Senior Living and Memory Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Ruidoso, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2022; 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.