GOOD LIFE AT HOME CARE, LLC (NPI# 1578911012) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578911012 |
| Entity Type | Organization |
| Organization Name | GOOD LIFE AT HOME CARE, LLC |
| Practice Address |
1744 E Mcandrews Rd Ste I Medford OR 97504-5576 |
| Practice Telephone | 5416467151 |
| Practice Fax Number | 5414940910 |
| Mailing Telephone | 5416467151 |
| Mailing Fax Number | 5414940910 |
| Enumeration Date | 2016-05-25 |
| Last Update Date | 2016-05-25 |
| Authorized Official Name | MICHAEL JOSEPH COBB (CEO) |
| Authorized Official Telephone | 5416467151 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253Z00000X | In Home Supportive Care | 152274 | OR | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174181259 | Good Life At Home Care, LLC | Home Health | 911 S Parsons Ave Ste C, Brandon, FL 33511-6042 | 2019-06-03 |
| 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 |
1744 E MCANDREWS RD STE I |
| City | MEDFORD |
| State | OR |
| Zip Code | 97504-5576 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225673833 | Lydia D Sneed | Behavioral Analyst | 3707 Citation Way, Suite 102, Medford, OR 97504 | 2019-11-07 |
| 1114577368 | Heather Ashley Fronek | Nurse Practitioner | 2825 E. Barnett Rd., Medford, OR 97504 | 2019-09-18 |
| 1255809109 | Justin Blasdel | Technician, Health Information | 3250 Lone Pine Rd, Medford, OR 97504 | 2018-11-08 |
| 1396220133 | Aimee K Michel | Massage Therapist | 3550 National Dr., Medford, OR 97504 | 2018-09-27 |
| 1437646908 | Zola Dental Medford LLC | Dentist | 922 E Main, Medford, OR 97504 | 2018-04-19 |
| 1376068015 | Megan Leggett | Counselor | 777 Murphy Road, Medford, OR 97504 | 2017-08-03 |
| 1023547536 | Joshua Morgan Rice | Dentist | 1117 E Main St Ste 1, Medford, OR 97504 | 2017-06-08 |
| 1427580232 | Paul James Dean | Counselor | 1175 Main St Ste 1c, Medford, OR 97504 | 2017-03-30 |
| 1811443542 | Taya Adams | Doula | 1201 Progress Dr #90, Medford, OR 97504 | 2016-09-01 |
| 1174076228 | Avalon Health Care - Hearthstone, LLC | Skilled Nursing Facility | 2091 E. Barnett Road, Medford, OR 97504 | 2016-07-25 |
| Find all providers in zip 97504 | ||||
| Taxonomy Code | 253Z00000X |
| Grouping | Agencies |
| Classification | In Home Supportive Care |
| An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912523721 | Hurwitz Home Care LLC | In Home Supportive Care | 1 City Hall Mall Ste C, Medford, MA 02155-4770 | 2020-06-18 |
| 1235750357 | Misty Dawn Harrison | In Home Supportive Care | 3835 Viewcrest Dr Apt D, Medford, OR 97504-7220 | 2020-04-29 |
| 1295391092 | Spring Health Care LLC | In Home Supportive Care | 407r Mystic Ave Ste 34b, Medford, MA 02155-6337 | 2019-05-16 |
| 1558926345 | Rejoyce Healthcare At Home, LLC | In Home Supportive Care | 2821 Bullock Rd, Medford, OR 97504-4132 | 2019-05-07 |
| 1750841466 | Rogue Valley Senior Care, LLC | In Home Supportive Care | 1575 E Mcandrews Rd Ste 100, Medford, OR 97504-5592 | 2019-03-20 |
| 1922578442 | Cancienne LLC | In Home Supportive Care | 1242 N Riverside Ave Ste A, Medford, OR 97501-4619 | 2018-11-27 |
| 1063931772 | Impeccable Home Services | In Home Supportive Care | 30 Cranberry Cir, Medford, NY 11763-1568 | 2017-09-13 |
| 1376991653 | Homecare Delivery Services, LLC | In Home Supportive Care | 2574 W Main St, Medford, OR 97501-2396 | 2016-05-27 |
| 1629403894 | Rogue Valley In Home Care Inc. | In Home Supportive Care | 331 Crater Lake Ave, Medford, OR 97504-6805 | 2013-09-06 |
| 1982944088 | Take Care At Home Inc | In Home Supportive Care | 821 O'hare Plwy Ste 101, Medford, OR 97504-4005 | 2013-02-26 |
| Find all providers in MEDFORD | ||||
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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.