Provider Demographics
NPI:1780914333
Name:GOOD LIFE HOME HEALTH CARE, INC.
Entity type:Organization
Organization Name:GOOD LIFE HOME HEALTH CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:VICTORINO
Authorized Official - Middle Name:L
Authorized Official - Last Name:GABOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-778-8739
Mailing Address - Street 1:5225 OLD ORCHARD RD STE 39
Mailing Address - Street 2:
Mailing Address - City:SKOKIE
Mailing Address - State:IL
Mailing Address - Zip Code:60077-1027
Mailing Address - Country:US
Mailing Address - Phone:773-561-4526
Mailing Address - Fax:773-561-8085
Practice Address - Street 1:5225 OLD ORCHARD RD STE 39
Practice Address - Street 2:
Practice Address - City:SKOKIE
Practice Address - State:IL
Practice Address - Zip Code:60077-1027
Practice Address - Country:US
Practice Address - Phone:773-561-4526
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-04
Last Update Date:2025-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1011133251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health