Organization Active NPI

Good Life Healing Center LLC

  • Acupuncturist
  • Bradenton, FL
National Provider Identifier
1972879096
Registry record updated Oct 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AP3090 Issued in FL
Legal business name
GOOD LIFE HEALING CENTER LLC
Practice address
5325 Lena Rd Ste 101
Bradenton, FL 34211-9442
Phone
(941) 301-8485
Fax
(941) 799-6841
NPI assigned
Mar 23, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2020

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

Authorized official

Name
Hilary Guseman
Title
Bookkeeper
Phone
(941) 301-8485

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X AP3090 FL Primary

Addresses

Primary practice location

5325 Lena Rd Ste 101
Bradenton, FL 34211-9442

Mailing address

7401 50TH Ter E
Bradenton, FL 34203-7903
Phone (941) 567-6465

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201201000442 FL Part B Supplier - Clinic/Group Practice 1052722873 Receives reassigned benefits from 2 practitioners
Practice locations: Bradenton, FL

National Provider Directory

National Provider Directory

Locations

5325 Lena Rd
#101
Bradenton, FL 34211
Phone (941) 301-8485

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1332460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603756800000",
    "number": "1972879096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7401 50TH TER E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342037903",
            "telephone_number": "941-567-6465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5325 LENA RD STE 101",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342119442",
            "telephone_number": "941-301-8485",
            "fax_number": "941-799-6841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD LIFE HEALING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-23",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A",
        "authorized_official_last_name": "GUSEMAN",
        "authorized_official_first_name": "HILARY",
        "authorized_official_title_or_position": "BOOKKEEPER",
        "authorized_official_telephone_number": "941-301-8485"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP3090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.