Active NPI
Good Life Partners LLC
Doing business as Good Life Senior Living
- Assisted Living Facility
- Price, UT
National Provider Identifier
1699357715
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- GOOD LIFE PARTNERS LLC
- Doing business as
- Good Life Senior Living
- Practice address
- 1025 W 470 N
Price, UT 84501-4238 - Phone
- (435) 650-5109
- NPI assigned
- Apr 27, 2021
- Last updated
- Apr 27, 2021
- Organization subpart
- Yes
- Parent organization
- GOOD LIFE SENIOR LIVING
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Cassie Mecham
- Title
- Medicaid Biller
- Phone
- (435) 650-2084
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | NU | Primary |
Addresses
Primary practice location
1025 W 470 N
Price, UT 84501-4238
Mailing address
37 N 1470 W
Price, UT 84501
Phone (435) 650-5109
Other practice location 1
15 W 100 N
Elmo, UT 84521-3985
Phone (435) 650-5109
Other names 1
- Good Life Senior Living
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Computer |
National Provider Directory
National Provider Directory- Tax ID family
- Good Life Partners LLC
- Part of
- Good Life Partners LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Good LIfe Senior Living Elmo
- Assisted Living Facility
- Elmo, UT
- NPI 1447832563
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1619481600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1619481600000",
"number": "1699357715",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "37 N 1470 W",
"city": "PRICE",
"state": "UT",
"postal_code": "84501",
"telephone_number": "435-650-5109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1025 W 470 N",
"city": "PRICE",
"state": "UT",
"postal_code": "845014238",
"telephone_number": "435-650-5109"
}
],
"practiceLocations": [
{
"address_1": "15 W 100 N",
"address_purpose": "LOCATION",
"city": "Elmo",
"state": "UT",
"postal_code": "845213985",
"country_code": "US",
"telephone_number": "435-650-5109",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "GOOD LIFE PARTNERS LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "GOOD LIFE SENIOR LIVING",
"enumeration_date": "2021-04-27",
"last_updated": "2021-04-27",
"certification_date": "2021-04-27",
"status": "A",
"authorized_official_last_name": "MECHAM",
"authorized_official_first_name": "CASSIE",
"authorized_official_title_or_position": "MEDICAID BILLER",
"authorized_official_telephone_number": "435-650-2084"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Computer",
"affiliation": "N",
"endpointDescription": "Computer",
"address_1": "15 W 100 N",
"city": "Elmo",
"state": "UT",
"country_code": "US",
"postal_code": "845213985",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Good Life Senior Living",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Price, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.