NPI age
10 years
Enumerated 2015-09-29
● Active Type 2 · Organization
Great Life Home Care, Llc
Great Life Home Care, Llc is 1 of 3480 in home supportive care organizations in Texas.
Primary specialty
In Home Supportive Care
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Waller
Managing Member
Last NPPES update
2015-09-29
Source: monthly bulk 2026-05
How this organization compares
Across 3480 active in home supportive care providers in Texas.
NPI age
10 years
↑ 5 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2015 → 2026
2015-09Enumerated in NPPES
2015
2026
Where they practice
Primary practice location
4321 Kingwood Dr, Ste. 177
Kingwood, TX 773393700
Mailing address
4321 Kingwood Dr, Ste. 177
Kingwood, TX 773393700
Authorized official
Travis M Waller
Managing Member
📞 2818836748
Individual providers at this organization
2 individual providers on file at this primary practice address.
- Anitra Moore Counselor NPI 1750237376
- Travis Waller In Home Supportive Care NPI 1184093775
Specialties
-
In Home Supportive Care PrimaryAn 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...
Practice context
Multi-provider organization. 2 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.