Good Life Health Care

Primary specialty

Nutrition ChiropractorTaxonomy code 111NN1001X

License

X012196-1 Issued in NY

Legal business name

GOOD LIFE HEALTH CARE

Practice address

304 S Main St
Simpsonville, SC 29681-2606

Phone

(864) 962-3116

NPI assigned

Dec 27, 2017

Organization subpart

No

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

Authorized official

Name

Lacey B Mohar, DC

Title

DC/Owner

Phone

(864) 962-3116

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1514332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1514332800000",
    "number": "1770099855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 S MAIN ST",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296812606",
            "telephone_number": "864-962-3116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 S MAIN ST",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296812606",
            "telephone_number": "864-962-3116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD LIFE HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-27",
        "last_updated": "2017-12-27",
        "status": "A",
        "authorized_official_last_name": "MOHAR",
        "authorized_official_first_name": "LACEY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "DC/OWNER",
        "authorized_official_telephone_number": "864-962-3116",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Nutrition",
            "state": "NY",
            "license": "X012196-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marilyn Renee' Goldman, LCSW-C, LISW-CP
• Jennifer Lee Goldsmith, CPNP
• Mark Goldsmith
• Rosario Gomez-Ochoa, PT
• Emely Gomez
• Destiny Goodman, COTA/L
• Judy Goodwin
• Malcolm N. Goodwin III, PHARMD
• Jo R Gordon, APRN, BC
• Zaina Gordon

• Nutrition Chiropractor in Simpsonville, SC
• Providers in Simpsonville, SC by specialty
• Nutrition Chiropractor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2017; 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.