Organization Active NPI

Good Life Home Care of California LLC

  • Home Health Agency
  • Concord, CA
National Provider Identifier
1942551767
Registry record updated Jan 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
GOOD LIFE HOME CARE OF CALIFORNIA LLC
Practice address
1320 Willow Pass Rd
Suite 460
Concord, CA 94520-5232
Phone
(831) 915-6255
NPI assigned
Sep 20, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2014

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

Authorized official

Name
Mr. Matthew Bowersox
Title
Administrator/Coo
Phone
(831) 915-6255

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X CA Primary

Addresses

Primary practice location

1320 Willow Pass Rd
Suite 460
Concord, CA 94520-5232

Mailing address

1320 Willow Pass Rd
Suite 460
Concord, CA 94520-5232

National Provider Directory

National Provider Directory

Locations

1320 Willow Pass Rd
Ste 460
Concord, CA 94520
Phone (831) 915-6255

NPI Registry JSON

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

{
    "created_epoch": "1348099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390867200000",
    "number": "1942551767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 WILLOW PASS RD",
            "address_2": "SUITE 460",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945205232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 WILLOW PASS RD",
            "address_2": "SUITE 460",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945205232",
            "telephone_number": "831-915-6255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD LIFE HOME CARE OF CALIFORNIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-20",
        "last_updated": "2014-01-28",
        "status": "A",
        "authorized_official_last_name": "BOWERSOX",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "ADMINISTRATOR/COO",
        "authorized_official_telephone_number": "831-915-6255",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2014; 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.