GOOD LIFE AT HOME CARE, LLC (NPI# 1174181259) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174181259 |
| Entity Type | Organization |
| Organization Name | GOOD LIFE AT HOME CARE, LLC |
| Practice Address |
911 S Parsons Ave Ste C Brandon FL 33511-6042 |
| Practice Telephone | 8134386306 |
| Mailing Telephone | 8134386306 |
| Enumeration Date | 2019-06-03 |
| Last Update Date | 2019-06-11 |
| Authorized Official Name | MICHAEL COBB (CEO) |
| Authorized Official Telephone | 5418409264 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578911012 | Good Life At Home Care, LLC | In Home Supportive Care | 1744 E Mcandrews Rd Ste I, Medford, OR 97504-5576 | 2016-05-25 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | GOOD LIFE AT HOME CARE, LLC | 1744 E. Mcandrews Road, Suite I, Medford, OR 97504-5576 |
| Oregon Corporations, Companies and Business Names | GOOD LIFE AT HOME CARE, LLC | 1744 E Mcandrews Road Suite I, Medford, OR 97504 |
| Street Address |
911 S PARSONS AVE STE C |
| City | BRANDON |
| State | FL |
| Zip Code | 33511-6042 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295367555 | Ability Beyond Measures LLC. | Clinic/Center | 2705 Isabella Valley Court, Brandon, FL 33511 | 2020-02-05 |
| 1831744655 | Brandon Modern Dentistry, Pa | Dentist | 971 E. Bloomingdale Avenue, Brandon, FL 33511 | 2019-08-08 |
| 1487208922 | Heart and Vascular Center of Brandon, Pllc | Internal Medicine | 511 Medical Oaks Ave., Brandon, FL 33511 | 2019-08-01 |
| 1841842895 | Rebecca Harrelson | Counselor | 915 Oakfield Drive, Suite E, Brandon, FL 33511 | 2019-07-10 |
| 1043779713 | Cheryl Diane Hart | Nurse Practitioner | 888 S Parsons Ave., Brandon, FL 33511 | 2019-03-13 |
| 1306303177 | Paula J Buchwald | Nurse Practitioner | 888 S. Parsons Ave, Brandon, FL 33511 | 2019-02-27 |
| 1063993996 | Ashlee Marie Shevchenko | Speech-Language Pathologist | 602 Vondeburg Dr, Suite 201, Brandon, FL 33511 | 2018-08-28 |
| 1275023012 | Ava Cares, LLC | Assisted Living Facility | 3005 Bell Shoals Rd., Brandon, FL 33511 | 2018-05-17 |
| 1346738705 | Tampa Psychology Group | Psychologist | 1463 Oakfield Dr Ste 109, Brandon, FL 33511 | 2018-05-01 |
| 1760982987 | Suresh Lama Tamang | Counselor | 510 Vonderburg Dr, Suite# 301, Brandon, FL 33511 | 2018-02-14 |
| Find all providers in zip 33511 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922651298 | Jordyn Healthcare Services | Home Health | 740 Caliente Dr, Brandon, FL 33511-7965 | 2019-07-16 |
| 1790271682 | Adelphie Home Health Care, LLC | Home Health | 1111 Oakfield Dr Ste 115a, Brandon, FL 33511-4930 | 2018-07-03 |
| 1023525375 | Interactive Health Alliance, LLC | Home Health | 1463 Oakfield Dr Ste 133, Brandon, FL 33511-0802 | 2018-01-09 |
| 1639612468 | Next Generation Home Care LLC | Home Health | 1044 E Brandon Blvd, Ep-2, Brandon, FL 33511-5509 | 2016-11-28 |
| 1336584606 | Brandons Assisted Living LLC | Home Health | 305 Central Ave S, Brandon, MN 56315-5802 | 2013-05-01 |
| 1699023374 | Bayada Home Health Care, Inc. | Home Health | 1727 S Kings Ave, Brandon, FL 33511-6220 | 2012-08-28 |
| 1265732150 | My Fathers Eyes Inc | Home Health | 673a W Lumsden Rd, Brandon, FL 33511-5911 | 2010-10-26 |
| 1588990212 | Assurance Home Health Care, Inc | Home Health | 401 N Parsons Ave Ste 106a, Suite 102, Brandon, FL 33510-4538 | 2009-10-31 |
| 1497995328 | Tender Love Health Care Services, LLC | Home Health | 1106 N Parsons Ave Ste 105, Brandon, FL 33510-3140 | 2009-03-05 |
| 1922250547 | Ac Staffing, Inc | Home Health | 905 S Kings Ave, Brandon, FL 33511-5928 | 2008-10-14 |
| Find all providers in BRANDON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.