Provider Demographics
NPI:1285409896
Name:GOALTIME LIVING LLC
Entity type:Organization
Organization Name:GOALTIME LIVING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LIARPA
Authorized Official - Middle Name:
Authorized Official - Last Name:DAHN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:203-802-0353
Mailing Address - Street 1:78 CAMP PL
Mailing Address - Street 2:
Mailing Address - City:BRIDGEPORT
Mailing Address - State:CT
Mailing Address - Zip Code:06606-1401
Mailing Address - Country:US
Mailing Address - Phone:203-802-0353
Mailing Address - Fax:
Practice Address - Street 1:415 BOSTON POST RD
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:CT
Practice Address - Zip Code:06460-2578
Practice Address - Country:US
Practice Address - Phone:203-802-0353
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-24
Last Update Date:2023-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive CareGroup - Multi-Specialty
No251E00000XAgenciesHome Health
No372600000XNursing Service Related ProvidersAdult CompanionGroup - Multi-Specialty
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty
No376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty