Healthcare Provider Details

I. General information

NPI: 1275468316
Provider Name (Legal Business Name): GREATER LIVING & CARE LL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/17/2026
Last Update Date: 06/17/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2509 CAROLYN DRIVE
PALMDALE CA
93551
US

IV. Provider business mailing address

550 W RANCHO VISTA BLVD STE D
PALMDALE CA
93551-3011
US

V. Phone/Fax

Practice location:
  • Phone: 661-760-6736
  • Fax:
Mailing address:
  • Phone: 661-760-6736
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. DAVID BARRON WOODMAN II
Title or Position: MANAGING MEMBER/ CEO
Credential:
Phone: 661-760-6736