Organization Active NPI

Good Life Partners LLC

Doing business as Good Life Senior Living

  • Assisted Living Facility
  • Price, UT
National Provider Identifier
1699357715
Registry record updated Apr 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
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, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
GOOD LIFE SENIOR LIVINGAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 27, 2021

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)CodeLicenseStatePrimary
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 Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Computer

National Provider Directory

National Provider Directory
Tax ID family
Good Life Partners LLC2 organizations share this tax ID, including this one
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.

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.

Verify at the official NPI Registry.