GOODLIFE CARE, LLC (NPI# 1891096087) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1891096087 |
Entity Type | Organization |
Organization Name | GOODLIFE CARE, LLC |
Other Organization Name | PK WRIGHT GROUP |
Practice Address |
1400 Veterans Memorial Hwy Se Suite 134 #305 Mableton GA 30126-2945 |
Practice Telephone | 8886897657 |
Practice Fax Number | 8666729398 |
Mailing Telephone | 8886897657 |
Mailing Fax Number | 8666729398 |
Enumeration Date | 2010-11-04 |
Last Update Date | 2010-11-04 |
Authorized Official Name | MR. PAUL ANTHONY WRIGHT (PRESIDENT/CEO) |
Authorized Official Telephone | 7707831415 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 251F00000X | Home Infusion | Agencies | ||
N | 251G00000X | Hospice Care, Community Based | Agencies | ||
N | 251J00000X | Nursing Care | Agencies | ||
N | 253Z00000X | In Home Supportive Care | Agencies | ||
Y | 251E00000X | Home Health | Agencies |
Other Name | Type Code |
---|---|
PK Wright Group | Former Legal Business Name - Organization |
Street Address |
1400 VETERANS MEMORIAL HWY SE SUITE 134 #305 |
City | MABLETON |
State | GA |
Zip Code | 30126-2945 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154713360 | Esther Ayuk | Pharmacist | 1400 Veterans Memorial Hwy Se, Suite 128, Mableton, GA 30126-2945 | 2015-02-25 |
1366784811 | Michaelle Myrthil | Counselor | 1400 Veterans Memorial Hwy Se, Ste 134-179, Mableton, GA 30126-2945 | 2013-03-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083256804 | Thelwell Immediate Care Clinic Inc | Clinic/Center | 1400 Veterans Memorial Highway Se Suite 134 #176, Mableton, GA 30126 | 2019-10-14 |
1467011049 | Iora Senior Health, Inc. | Internal Medicine | 5015 Floyd Rd, Suite 710, Mableton, GA 30126 | 2019-06-07 |
1649677626 | Wonderfully Made Wellness, Inc. | Specialist | 464 Vinings Vintage Circle Se, Mableton, GA 30126 | 2014-11-19 |
1811240633 | The Adult Resource Coalition | Community/Behavioral Health | 609 Hunnicut Rd, Mableton, GA 30126 | 2012-10-17 |
1922389253 | American Current Care Pa | Clinic/Center | 1025 Veterans Memorial, Mableton, GA 30126 | 2011-08-31 |
1558504308 | Eddie Joe Turner Jr. | Emergency Medicine | 4855 Floyd Rd Sw, Mableton, GA 30126 | 2009-04-09 |
1285881227 | Community Dental Services Inc | Dentist | 5761 Mableton Parkway, Mableton, GA 30126 | 2008-08-21 |
1396932281 | Kevin Duane Larry | Counselor | 1119 Silvergate Ln, Mableton, GA 30126 | 2007-09-25 |
1164634440 | Mableton Dental Inc | Dentist | 5841 Mableton Pkwy, Mableton, GA 30126 | 2007-05-07 |
1104038686 | Charles L Davenport Jr. | Pharmacist | 558 Ivey Way S.e., Mableton, GA 30126 | 2007-05-04 |
Find all providers in zip 30126 |
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 |
---|---|---|---|---|
1720618077 | Providence Healthcare of Georgia | Home Health | 6509 Bennington Bluff Ct, Mableton, GA 30126-7269 | 2020-01-24 |
1902371636 | Pretty In Pink Angels of Care, LLC | Home Health | 5938 Graywood Cir Se, Mableton, GA 30126-5721 | 2018-10-09 |
1447440094 | K &k Consulting Services | Home Health | 5701 Mableton Pkwy Sw Ste 4c, Mableton, GA 30126-3390 | 2007-07-30 |
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1356941082 | Just Peachy Home Care LLC | Home Health | 550 Fairburn Rd Sw Ste B1, Atlanta, GA 30331-2016 | 2020-10-30 |
1902406804 | Southern Home Care Services, Inc. | Home Health | 102 S Green St, Swainsboro, GA 30401-3131 | 2020-10-29 |
1942800743 | Vidma Care Mission, LLC | Home Health | 3045 Whittier Way, Cumming, GA 30040-0722 | 2020-10-29 |
1891395380 | Am Pm Assets, Inc. | Home Health | 971 Lanier Ave, Gainesville, GA 30501-1727 | 2020-10-26 |
1588263917 | 963 Hz LLC | Home Health | 621 Arbor Cir, Tucker, GA 30084-3061 | 2020-10-17 |
1811595283 | Rotex Healthcare Services LLC | Home Health | 1847 Canoe Rdg Nw, Kennesaw, GA 30152-6222 | 2020-10-16 |
1306444120 | Circle of Life Caregiver Services | Home Health | 1803 Wynnton Rd, Columbus, GA 31906-2929 | 2020-10-14 |
1740888437 | Arose Home Care Services,llc | Home Health | 3374 Stone Path Way, Powder Springs, GA 30127-5329 | 2020-10-14 |
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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.