Lifelong Wellness Telehealth

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

LIFELONG WELLNESS TELEHEALTH

Practice address

4884 Hibbs Grove Way
Cooper City, FL 33330-4449

Phone

(305) 965-3893

NPI assigned

Mar 14, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Noorah KhanNPI 1457063026

Title

Founder

Phone

(305) 965-3893

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Noorah Khan, ARNP

  • Family Nurse Practitioner
  • Fort Lauderdale, FL
  • NPI 1457063026
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1710374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710374400000",
    "number": "1053170977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4884 HIBBS GROVE WAY",
            "city": "COOPER CITY",
            "state": "FL",
            "postal_code": "333304449",
            "telephone_number": "305-965-3893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4884 HIBBS GROVE WAY",
            "city": "COOPER CITY",
            "state": "FL",
            "postal_code": "333304449",
            "telephone_number": "305-965-3893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFELONG WELLNESS TELEHEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-14",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-14",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "NOORAH",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "305-965-3893"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Victoria Lazarus, MS-SLP
• LC Chiropractic LLC
• Christine Lessard, MSPT
• Janet Levenson Raz, PSY.D.
• Levinson Medical Center at Cooper City
• Lings Healthmart Pharmacy
• Lings Hlthmt Phcy and Wellness Ctr
• Living Well Care
• Liz Healthcare Services
• Maday Llanes Padilla

• Primary Care Clinic/Center in Cooper City, FL
• Providers in Cooper City, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.