Provider Demographics
NPI:1639588270
Name:GOOD LIFE HOME CARE SERVICES CORPORATION
Entity Type:Organization
Organization Name:GOOD LIFE HOME CARE SERVICES CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ODERA
Authorized Official - Middle Name:
Authorized Official - Last Name:CHIDOKA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-246-4625
Mailing Address - Street 1:3721 BRIARPARK DR STE 200
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77042-5255
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3721 BRIARPARK DR STE 200
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77042-5255
Practice Address - Country:US
Practice Address - Phone:956-246-4625
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-07
Last Update Date:2021-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health