1. Home
  2. Directory
  3. Iowa
  4. Clive
  5. Community Based Residential Treatment Facility Intellectual And Or Developmental Disabilities
  6. NPI Profile

GREATLIFE HOME CARE, LLC
NPI 1760192702
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Clive, IA

Active since November 30, 2022
7880 HARBACH BLVD, CLIVE, IA 50325(515) 918-3551 Get Directions Write a Review

NPPES record last updated: January 7, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 7, 2025, Dec 8, 2022, Nov 30, 2022 (3 updates tracked since 2022).

About Greatlife Home Care, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GREATLIFE HOME CARE, LLC (NPI 1760192702) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Clive, Iowa and active in the NPI registry since November 2022. The organization lists Massara Goyom Komjo, Owner, as its authorized official.

NPPES Registry Identity

NPI1760192702
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameGREATLIFE HOME CARE, LLC
Location Address7880 HARBACH BLVDClive, IA 50325-1240
Mailing Address10069 Lincoln AveClive, IA 50325-6745 · (515) 918-3551
Phone(515) 918-3551
Organization SubpartNo
Authorized OfficialMassara Goyom KomjoOwner · (515) 918-3551
Enumeration DateNovember 30, 2022
Last NPPES UpdateJanuary 7, 20253 updates tracked since enumeration
NPPES CertifiedJanuary 7, 2025
✔ NPI 1760192702 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320900000X
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
Also ListedMealsTaxonomy 174200000X
Also ListedHome HealthTaxonomy 251E00000X
Also ListedRehabilitation UnitTaxonomy 273Y00000X
Also ListedLong Term Care HospitalTaxonomy 282E00000X
Also ListedPrivate VehicleTaxonomy 347C00000X
7880 HARBACH BLVD, Clive, IA 50325
Open in Google Maps ↗

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Greatlife Home Care, LLC's NPI number?

The NPI number for Greatlife Home Care, LLC is 1760192702. It was assigned to this organization in the NPPES registry on November 30, 2022.

Where is Greatlife Home Care, LLC located?

Greatlife Home Care, LLC is located at 7880 Harbach Blvd, Clive, IA 50325. The listed phone number is (515) 918-3551.

What is Greatlife Home Care, LLC's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Greatlife Home Care, LLC was last updated on January 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.