Active NPI
Good Living Homecare LLC
- Home Health Agency
- Carrollton, TX
National Provider Identifier
1649589656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- Incorporated
- Sep 14, 2010 in TX
- Enrollment address
- 1925 E Belt Line Rd
Ste 216
Carrollton, TX 75006-5890
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Good Living Homecare LLC
- Ownership
- Proprietary
- Certified
- Dec 16, 2012
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Suja John | Operational/Managerial Control | Aug 13, 2023 | |
| Tewodros Michael | Operational/Managerial Control | Aug 13, 2023 | |
| John Jospeh | Operational/Managerial Control | Aug 13, 2023 | |
| Suno S Thomas | Operational/Managerial Control | Aug 13, 2023 | |
| Justin J Joseph | 5% Or Greater Direct Ownership Interest | Apr 18, 2025 | 100% |
| Corporate Director | Aug 13, 2023 | 100% |
Practitioners & affiliated clinicians
Affiliated clinicians 2
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Adult Health Nurse Practitioner
- Fort Worth, TX
- NPI 1528005758
Home health agency
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- 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.