GREAT LIFE SERVICES, LLC (NPI# 1174978548) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174978548 |
| Entity Type | Organization |
| Organization Name | GREAT LIFE SERVICES, LLC |
| Practice Address |
6534 Candlecane Cir San Antonio TX 78244-1914 |
| Practice Telephone | 2108447487 |
| Mailing Telephone | 2108447487 |
| Enumeration Date | 2016-05-04 |
| Last Update Date | 2016-05-04 |
| Authorized Official Name | GISELE L SANTANA (DIRECTOR) |
| Authorized Official Telephone | 2108447487 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 320900000X | 05 |
| Street Address |
6534 CANDLECANE CIR |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78244-1914 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003398082 | Rhenita Clay | Occupational Therapy Assistant | 6802 Still Lake, San Antonio, TX 78244 | 2018-09-05 |
| 1073004594 | Adam Sumner Dmd Pllc | Dentist | 5975 W Farm To Market Rd 78 #360, San Antonio, TX 78244 | 2018-05-21 |
| 1689181091 | Texas Tens Unlimited Inc. | Durable Medical Equipment & Medical Supplies | 7975 Fm 78, Suite 2, San Antonio, TX 78244 | 2018-01-08 |
| 1699144022 | Rackham Dental LLC | Dentist | 6658 Summer Fest Drive, San Antonio, TX 78244 | 2015-09-16 |
| 1366822421 | Larry Williamson | Counselor | 602 E. Afton Oaks Blvd, San Antonio, TX 78244 | 2015-06-04 |
| 1417334574 | Jamaica D Bates | Counselor | 7134 Elm Trail, San Antonio, TX 78244 | 2015-04-28 |
| 1386984656 | Wal-mart Stores Texas, LLC | Technician/Technologist | 4096 North Foster, San Antonio, TX 78244 | 2013-02-25 |
| 1033459607 | Doris A Mantos | Durable Medical Equipment & Medical Supplies | 7975 Fm 78 Ste 1, San Antonio, TX 78244 | 2013-02-19 |
| 1588822308 | Costance Yvette Staten | Assisted Living Facility | 7000 Gulfshore, San Antono, TX 78244 | 2008-05-29 |
| 1073734679 | Felix H Flores | Physical Therapy Assistant | 4154 Mystic Sunrise, San Antonio, TX 78244 | 2007-05-01 |
| Find all providers in zip 78244 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457999849 | Eri Industries, LLC, Dba Eri Group Homes | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2300 W. Commerce#216, San Antonio, TX 78207 | 2019-12-16 |
| 1538719463 | Agape 4 You,llc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 9122 Bowen Br, San Antonio, TX 78254-1914 | 2019-09-12 |
| 1811468960 | Integrity Healthcare Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8815 Burgandy, San Antonio, TX 78240-3529 | 2018-12-16 |
| 1083185607 | Lovinglyhome LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 12419 Horse Cres, San Antonio, TX 78254-6087 | 2018-12-07 |
| 1396229456 | Supported Services LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 18911 Hardy Oak Blvd Ste 164, San Antonio, TX 78258-4967 | 2018-09-24 |
| 1821580481 | Mi Amor Home & Community Services, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8151 Broadway St, San Antonio, TX 78209-1995 | 2018-05-30 |
| 1568983385 | Enchantment Living Hhc LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5927 Iris Isle, San Antonio, TX 78218-3091 | 2017-07-01 |
| 1871037135 | Glen Oaks Health Care Services LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5822 Royal Hvn, San Antonio, TX 78239-1407 | 2016-12-06 |
| 1528435880 | Come Home - Victor's House | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2522 Hollyhill Dr, San Antonio, TX 78222-1352 | 2015-08-21 |
| 1629487178 | Rosa's Assisted Living | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5254 Round Table Dr, San Antonio, TX 78218-2826 | 2014-08-08 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78244 |
Please comment or provide details below to improve the information on GREAT LIFE SERVICES, LLC.
| 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.