Organization Active NPI

Good Life Homecare

  • Home Health Agency
  • Bettendorf, IA
National Provider Identifier
1730271263
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
GOOD LIFE HOMECARE
Practice address
1035 Lincoln Rd
Suite 201
Bettendorf, IA 52722-4198
Phone
(563) 449-9500
Fax
(563) 355-0263
NPI assigned
Sep 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Suzanne R Heller, RN
Title
Partner
Phone
(563) 332-0520

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1035 Lincoln Rd
Suite 201
Bettendorf, IA 52722-4198

Mailing address

1035 Lincoln Rd
Suite 201
Bettendorf, IA 52722-4198
Phone (563) 449-9500

Other identifiers 1

IdentifierTypeStateIssuer
0469809MedicaidIA

National Provider Directory

National Provider Directory

Locations

1035 Lincoln Rd
Ste 201
Bettendorf, IA 52722
Phone (563) 449-9500

NPI Registry JSON

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1730271263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 LINCOLN RD",
            "address_2": "SUITE 201",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527224198",
            "telephone_number": "563-449-9500",
            "fax_number": "563-355-0263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 LINCOLN RD",
            "address_2": "SUITE 201",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527224198",
            "telephone_number": "563-449-9500",
            "fax_number": "563-355-0263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD LIFE HOMECARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HELLER",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "563-332-0520",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0469809",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bettendorf, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.