Goodlife Adult Day Health Care Center

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

License

0600885 Issued in CA

Legal business name

GOODLIFE ADULT DAY HEALTH CARE CENTER

Practice address

1617 Beverly Blvd
Los Angeles, CA 90026-5710

Phone

(213) 250-9191

Fax

(213) 250-9595

NPI assigned

Apr 25, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Behkam Nikaein

Title

Ceo

Phone

(213) 250-9191

Specialties & licenses 1

Addresses

Other names 1

• Buena Vida Adult Day Health Care Center Doing business as

Tax ID family

Buena Vida Adhc LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Buena Vida Adhc, LLC

  • Adult Day Care Clinic/Center
  • Los Angeles, CA
  • NPI 1215114517
  NPD tax ID

Locations

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197936000000",
    "number": "1992924856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1617 BEVERLY BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900265710",
            "telephone_number": "213-250-9191",
            "fax_number": "213-250-9595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1617 BEVERLY BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900265710",
            "telephone_number": "213-250-9191",
            "fax_number": "213-250-9595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODLIFE ADULT DAY HEALTH CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2007-12-18",
        "status": "A",
        "authorized_official_last_name": "NIKAEIN",
        "authorized_official_first_name": "BEHKAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "213-250-9191",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "CA",
            "license": "0600885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Buena Vida Adult Day Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ann Elizabeth Goodgame, PT
• Kay Goodhart
• Catherine Joy Goodhue, PNP
• Lexi Christine Goodin
• Monique Shawanna Gooding, LCSW
• Chauncey R Goodloe
• Spensser Goodloe, LVN
• Goodman Physical Therapy
• Tina Beth Goodman-Brown, PSYCHOLOGIST
• Adam J Goodman, MD

• Adult Day Care Clinic/Center in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Adult Day Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2007; 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.