Provider Demographics
NPI:1760296131
Name:GOOD VIBES HOME CARE LLC
Entity type:Organization
Organization Name:GOOD VIBES HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:IRINA
Authorized Official - Middle Name:
Authorized Official - Last Name:MIKHAYLYANTS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-923-4556
Mailing Address - Street 1:1420 BETASSO DR
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27519-7241
Mailing Address - Country:US
Mailing Address - Phone:919-923-4556
Mailing Address - Fax:
Practice Address - Street 1:8450 CHAPEL HILL RD STE 201
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27513-4577
Practice Address - Country:US
Practice Address - Phone:919-923-4556
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-05
Last Update Date:2025-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care