Organization Active NPI

Good Living Homecare LLC

  • Home Health Agency
  • Carrollton, TX
National Provider Identifier
1649589656
Registry record updated Oct 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
GOOD LIVING HOMECARE LLC
Practice address
1925 E Belt Line Rd Ste 216
Carrollton, TX 75006-5890
Phone
(469) 214-8925
Fax
(469) 754-0352
NPI assigned
Sep 26, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2023

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

Authorized official

Name
Justin J Joseph
Title
Director
Phone
(469) 214-8925

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1925 E Belt Line Rd Ste 216
Carrollton, TX 75006-5890

Mailing address

1925 E Belt Line Rd Ste 216
Carrollton, TX 75006-5890
Phone (469) 214-8925

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110330000053 TX Part A Provider - Home Health Agency 2264615277 Practice locations: Carrollton, TX

Home health agency certification: CCN 747782

Legal name
GOOD LIVING HOMECARE LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Dec 16, 2012
Last certification
Nov 5, 2019
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Sep 14, 2010 in TX
Enrollment address
1925 E Belt Line Rd
Ste 216
Carrollton, TX 75006-5890
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Good Living Homecare LLCCCN 747782
Ownership
Proprietary
Certified
Dec 16, 2012
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

1925 E Belt Line Rd
Ste 216
Carrollton, TX 75006
Phone (469) 214-8925

5200 Paige Rd
Ste 700
The Colony, TX 75056
Phone (469) 214-8925

Ownership & related parties

All disclosed owners & managing parties 5

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Suja John Individual Operational/Managerial ControlDirector of Nursing Aug 13, 2023
Tewodros Michael Individual Operational/Managerial ControlAlt Director of Nursing Aug 13, 2023
John Jospeh Individual Operational/Managerial ControlAlternate Administrator Aug 13, 2023
Suno S Thomas Individual Operational/Managerial ControlAdministrator Aug 13, 2023
Justin J Joseph Individual 5% Or Greater Direct Ownership InterestOwner Apr 18, 2025 100%
Corporate DirectorManager Aug 13, 2023 100%

Practitioners & affiliated clinicians

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1285459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696204800000",
    "number": "1649589656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1925 E BELT LINE RD STE 216",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750065890",
            "telephone_number": "469-214-8925",
            "fax_number": "469-754-0352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1925 E BELT LINE RD STE 216",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750065890",
            "telephone_number": "469-214-8925",
            "fax_number": "469-754-0352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD LIVING HOMECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-26",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A",
        "authorized_official_last_name": "JOSEPH",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "469-214-8925"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, TX

Sources for this page

Verify at the official NPI Registry.