Active NPI
Good Life Home Health Care, Inc.
- Home Health Agency
- Skokie, IL
National Provider Identifier
1780914333
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 1011133
- Legal business name
- GOOD LIFE HOME HEALTH CARE, INC.
- Practice address
- 5225 Old Orchard Rd Ste 39
Skokie, IL 60077-1027 - Phone
- (773) 561-4526
- NPI assigned
- Jan 4, 2010
- 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
- Mr. Victorino L Gabor
- Title
- President
- Phone
- (847) 778-8739
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 1011133 | IL | Primary |
Addresses
Primary practice location
5225 Old Orchard Rd Ste 39
Skokie, IL 60077-1027
Mailing address
5225 Old Orchard Rd Ste 39
Skokie, IL 60077-1027
Phone (773) 561-4526
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100720000722 | IL | Part A Provider - Home Health Agency | 9739211186 | Practice locations: Skokie, IL |
Home health agency certification: CCN 148210
- Legal name
- GOOD LIFE HOME HEALTH CARE, INC.
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Dec 17, 2010
- Last certification
- Dec 17, 2010
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- Dec 3, 2008 in IL
- Enrollment address
- 5225 Old Orchard Rd
Ste 39
Skokie, IL 60077-1027
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Good Life Home Health Care, Inc
- Overall star rating
- Ownership
- Proprietary
- Certified
- Dec 17, 2010
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 14D2013883 | Good Life Home Health Care Inc | Certificate of waiver | Sep 26, 2026 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 2
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Victorino Gabor | General Partnership Interest | Feb 9, 2015 | 50% |
| Corporate Director | Feb 5, 2010 | ||
| Jenny Gabor | Corporate Officer | Feb 9, 2015 | |
| W-2 Managing Employee | Feb 9, 2015 |
Practitioners & affiliated clinicians
Affiliated clinicians 6
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Hematology (Internal Medicine) Physician
- Chicago, IL
- NPI 1790718617
Home health agency
-
- Hematology & Oncology Physician
- Chicago, IL
- NPI 1760878995
Home health agency
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1262563200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1736035200000",
"number": "1780914333",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5225 OLD ORCHARD RD STE 39",
"city": "SKOKIE",
"state": "IL",
"postal_code": "600771027",
"telephone_number": "773-561-4526",
"fax_number": "773-561-8085"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5225 OLD ORCHARD RD STE 39",
"city": "SKOKIE",
"state": "IL",
"postal_code": "600771027",
"telephone_number": "773-561-4526"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GOOD LIFE HOME HEALTH CARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2010-01-04",
"last_updated": "2025-01-05",
"certification_date": "2025-01-05",
"status": "A",
"authorized_official_last_name": "GABOR",
"authorized_official_first_name": "VICTORINO",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "847-778-8739",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "IL",
"license": "1011133",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Skokie, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.