Good Life Activity Development Center

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

GOOD LIFE ACTIVITY DEVELOPMENT CENTER

Practice address

2 Centerview Dr Ste 64
Greensboro, NC 27407-3708

Phone

(336) 383-8977

NPI assigned

Mar 21, 2025

Organization subpart

No

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

Authorized official

Name

Rebecca Blackman

Title

Ceo/Administrator

Phone

(336) 383-8977

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1742515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742515200000",
    "number": "1821899212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 CENTERVIEW DR STE 64",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274073708",
            "telephone_number": "336-383-8977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 CENTERVIEW DR STE 64",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274073708",
            "telephone_number": "336-383-8977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD LIFE ACTIVITY DEVELOPMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-21",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "status": "A",
        "authorized_official_last_name": "BLACKMAN",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "CEO/ADMINISTRATOR",
        "authorized_official_telephone_number": "336-383-8977"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leslie R Gonzalez, LCSW
• Leyanet Gonzalez, MD
• Christian Gonzoph, PA-C
• Good Family Services Inc
• Good Health Greensboro
• Good Life Home Health Care LLC
• Good Shepherd Family Care Home, LLC
• Good Times Home Health Care Inc.
• Miracle Destiny Goode
• Pandora Goode, NP C

• Adult Day Care Clinic/Center in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Adult Day Care Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2025; 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.