Longevity and Wellbeing LLC

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

LONGEVITY AND WELLBEING LLC

Practice address

10160 NW 6TH St
Pembroke Pines, FL 33026-3983

Phone

(786) 350-0576

NPI assigned

May 13, 2021

Organization subpart

No

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

Authorized official

Name

Lisa SkirvingNPI 1790129047

Title

President

Phone

(786) 350-0576

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Lisa Annette Skirving, CBHCMS

  • Case Manager/Care Coordinator
  • Pembroke Pines, FL
  • NPI 1790129047
  NPD Authorized official

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

{
    "created_epoch": "1620864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621382400000",
    "number": "1114591237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10160 NW 6TH ST",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330263983",
            "telephone_number": "786-350-0576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10160 NW 6TH ST",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330263983",
            "telephone_number": "786-350-0576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONGEVITY AND WELLBEING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-13",
        "last_updated": "2021-05-19",
        "certification_date": "2021-05-19",
        "status": "A",
        "authorized_official_last_name": "SKIRVING",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-350-0576"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "107978600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alejandro Antonio Lominchar, PT, DPT
• Simon Londono, MD
• Long Life Behavioral Services Inc
• Jacqueline Longa
• Longevity and Me
• Rodolfo Alves Lopes
• Daisy Lopez Ayes, RBT
• Ana Lopez Medrano
• Yilian Lopez Mendez, D.M.D.
• Diliervys R Lopez Mesa, MD, APRN, RN

• Case Management Agency in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Case Management Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2021; 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.