GOOD LIFE SERVICES LLC NPI 1124663919

NPI Information

  • NPI: 1124663919
  • Provider Name: GOOD LIFE SERVICES LLC
  • Classification: In Home Supportive Care - 253Z00000X
  • Entity Type: Organization
  • Address: 79 STATE ST
    GORHAM, ME
    ZIP 04038
  • Phone: (207) 894-0537

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NPI Details

GOOD LIFE SERVICES LLC is an in home supportive care in Gorham, ME. The provider is 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. GOOD LIFE SERVICES LLC NPI is 1124663919. The provider is registered as an organization entity type.

The provider's business location address is:

79 STATE ST
GORHAM, ME
ZIP 04038-012
Phone: (207) 894-0537

The provider's authorized official is Mutombo Mutombo .
The authorized official title is Owner and has the following contact phone number (220) 789-4053.

The enumeration date for this NPI number is 11/15/2019 and was last updated on 11/15/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1253Z00000XIn Home Supportive CareYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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