Active NPI
Good Life Homecare
- Home Health Agency
- Bettendorf, IA
National Provider Identifier
1730271263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0469809 | Medicaid | IA |
National Provider Directory
National Provider DirectoryLocations
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.