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Organization
GOOD LIFE SERVICES HCS
Active
Organization
GOOD LIFE SERVICES HCS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROXANA G SERMENO DE ANAYA RN (OWNER)
(916) 912-3309
Entity
Organization
Contact information
Practice address
16630 IMPERIAL VALLEY DR STE 118, HOUSTON, TX 77060-3410
(916) 912-3389
Mailing address
16630 IMPERIAL VALLEY DR STE 118, HOUSTON, TX 77060-3410
(916) 912-3389
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
253J00000X
Foster Care Agency
—
NULL
253Z00000X
In Home Supportive Care Agency
—
NULL
311ZA0620X
Adult Care Home Facility
—
NULL
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
NULL
372600000X
Adult Companion
—
NULL
372600000X
Adult Companion
—
—
3747A0650X
Attendant Care Provider
—
NULL
3747A0650X
Attendant Care Provider
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
NULL
Other
Enumeration date
11/07/2025
Last updated
11/07/2025
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