Healthcare Provider Details

I. General information

NPI: 1053232694
Provider Name (Legal Business Name): GOOD LIFE HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/21/2026
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1582 CARBONDALE ROW
KINDRED FL
34744-6444
US

IV. Provider business mailing address

1582 CARBONDALE ROW
KINDRED FL
34744-6444
US

V. Phone/Fax

Practice location:
  • Phone: 203-543-8045
  • Fax:
Mailing address:
  • Phone: 203-543-8045
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name: BRENDA OCASIO MARTINEZ
Title or Position: OWNER
Credential:
Phone: 203-543-8045