Active NPI
Good Life Health Services Inc
- Home Health Agency
- Brockton, MA
National Provider Identifier
1861997611
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- GOOD LIFE HEALTH SERVICES INC
- Practice address
- 57 Oscar Ave
Brockton, MA 02302-1047 - Phone
- (617) 283-6211
- NPI assigned
- Mar 26, 2018
- 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
- Malida Theodore
- Title
- President
- Phone
- (617) 283-6211
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
57 Oscar Ave
Brockton, MA 02302-1047
Mailing address
57 Oscar Ave
Brockton, MA 02302-1047
Phone (617) 283-6211
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Community Health Worker
- Brockton, MA
- NPI 1497201271
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522022400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1722816000000",
"number": "1861997611",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "57 OSCAR AVE",
"city": "BROCKTON",
"state": "MA",
"postal_code": "023021047",
"telephone_number": "617-283-6211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "57 OSCAR AVE",
"city": "BROCKTON",
"state": "MA",
"postal_code": "023021047",
"telephone_number": "617-283-6211"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GOOD LIFE HEALTH SERVICES INC",
"organizational_subpart": "NO",
"enumeration_date": "2018-03-26",
"last_updated": "2024-08-05",
"certification_date": "2024-08-05",
"status": "A",
"authorized_official_last_name": "THEODORE",
"authorized_official_first_name": "MALIDA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "617-283-6211"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brockton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.