Good Life Home Health Care Services, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

GOOD LIFE HOME HEALTH CARE SERVICES, INC.

Practice address

2501 Colorado Blvd
Unit G
Los Angeles, CA 90041-1055

Phone

(323) 478-9471

Fax

(323) 478-9475

NPI assigned

Aug 9, 2005

Organization subpart

No

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

Authorized official

Name

Jemima Martinez-Cruz, RN

Title

Administrator

Phone

(323) 478-9471

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 557746

Legal name

GOOD LIFE HOME HEALTH CARE SERVICES, INC.

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Nov 25, 1996

Last certification

Mar 30, 2021

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Apr 6, 1995 in CA

Enrollment address

2501 Colorado Blvd
Ste G
Los Angeles, CA 90041-1055

Listed as

Good Life Home Health Care Services, IncCCN 557746

Overall star rating

4.5 of 5

Ownership

Proprietary

Certified

Nov 25, 1996

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196035200000",
    "number": "1790786150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 COLORADO BLVD",
            "address_2": "UNIT G",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900411055",
            "telephone_number": "323-478-9471",
            "fax_number": "323-478-9475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 COLORADO BLVD",
            "address_2": "UNIT G",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900411055",
            "telephone_number": "323-478-9471",
            "fax_number": "323-478-9475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD LIFE HOME HEALTH CARE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-09",
        "last_updated": "2007-11-26",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ-CRUZ",
        "authorized_official_first_name": "JEMIMA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "323-478-9471",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2007; 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.

Verify at the official NPI Registry.