Organization Active NPI

Long Life Health Group Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Cutler Bay, FL
National Provider Identifier
1104715465
Registry record updated Jul 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
LONG LIFE HEALTH GROUP INC
Practice address
10379 SW 186TH St
Cutler Bay, FL 33157-6824
Phone
(720) 314-4727
NPI assigned
Jul 1, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2026

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

Authorized official

Name
Yoel Leon Rodriguez
Title
Owner
Phone
(754) 290-7156

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

10379 SW 186TH St
Cutler Bay, FL 33157-6824

Mailing address

10379 SW 186TH St
Cutler Bay, FL 33157-6824
Phone (754) 290-7596

Other names 1

  • LONG LIFE HEALTH GROUP INC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260325002596 FL Part B Supplier - Clinic/Group Practice 7517441777 Receives reassigned benefits from 4 practitioners
Practice locations: Cutler Bay, FL

National Provider Directory

National Provider Directory
Tax ID family
Long Life Health Group Inc2 organizations share this tax ID, including this one

Locations

10379 SW 186th St
Cutler Bay, FL 33157
Phone (720) 314-4727

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1751328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785024000000",
    "number": "1104715465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10379 SW 186TH ST",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331576824",
            "telephone_number": "754-290-7596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10379 SW 186TH ST",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331576824",
            "telephone_number": "720-314-4727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG LIFE HEALTH GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-01",
        "last_updated": "2026-07-26",
        "certification_date": "2026-07-26",
        "status": "A",
        "authorized_official_last_name": "LEON RODRIGUEZ",
        "authorized_official_first_name": "YOEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "754-290-7156"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LONG LIFE HEALTH GROUP INC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "LONG LIFE HEALTH GROUP INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cutler Bay, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.