OrganizationActive
Great Life Services, LLC
NPI 1174978548 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · San Antonio, TX
Provider details
- NPI number
- 1174978548
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Gisele Santana, Ceo(210) 656-1633
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
9033 Aero St Ste 101
San Antonio, TX 78217-6343
Phone: (210) 844-7487
Fax: (210) 579-1314
Street-level locationGet directions
Mailing address
9033 Aero St Ste 101
San Antonio, TX 78217-6343
Additional practice locations (1)
- 6534 Candlecane CirSan Antonio, TX 78244-1914Phone: (210) 844-7487
Registry dates
- Enumerated
- 2016-05-04
- Last updated
- 2023-01-05
- Certified
- 2023-01-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.