Goodlife Residence LLC

Primary specialty

Respite CareTaxonomy code 385H00000X

License

0522057 Issued in TN

Legal business name

GOODLIFE RESIDENCE LLC

Practice address

545 McCrory Creek Rd
Nashville, TN 37214-3418

Phone

(615) 506-5164

NPI assigned

Oct 17, 2012

Organization subpart

No

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

Authorized official

Name

Ms. Shawanda D Clay, NP

Title

Ceo

Phone

(615) 506-5164

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1350432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350432000000",
    "number": "1891048641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 331486",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372037514",
            "telephone_number": "615-506-5164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 MCCRORY CREEK RD",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372143418",
            "telephone_number": "615-506-5164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODLIFE RESIDENCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-17",
        "last_updated": "2012-10-17",
        "status": "A",
        "authorized_official_last_name": "CLAY",
        "authorized_official_first_name": "SHAWANDA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "615-506-5164",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "TN",
            "license": "0522057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katie Pindar Goodin, NP
• Martha Noelle Goodin, M.D., MT-BC, NMT
• Trent Louis Goodin
• Rhonda Gooding, LMSW
• Braden Goodlett
• Janet Goodman White, RN
• Andrew Goodman, M.D.
• Kirsten Goodman
• Kristy M Goodman, LCSW
• Lindsey Marie Goodman, MD

• Respite Care in Nashville, TN
• Providers in Nashville, TN by specialty
• Respite Care in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2012; 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.