Life and Longevity Homecare LLC

Primary specialty

HomemakerTaxonomy code 376J00000X

Legal business name

LIFE AND LONGEVITY HOMECARE LLC

Doing business as

Life and Longevity Homecare LLC

Practice address

7867 Playschool LN
Jacksonville, FL 32210-1428

Phone

(904) 294-5271

NPI assigned

Nov 26, 2024

Organization subpart

No

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

Authorized official

Name

Ms. Tykeriha GrahamNPI 1033939756

Title

Owner/ Administrator

Phone

(904) 294-5271

Specialties & licenses 2

Addresses

Other names 1

• Life and Longevity Homecare LLC Doing business as

Practitioners 1

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

• Tykeriha Graham

  • Homemaker
  • Jacksonville, FL
  • NPI 1033939756

  Adult Companion

  NPD Authorized official

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

{
    "created_epoch": "1732579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732579200000",
    "number": "1114743846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7867 PLAYSCHOOL LN",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322101428",
            "telephone_number": "904-294-5271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7867 PLAYSCHOOL LN",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322101428",
            "telephone_number": "904-294-5271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE AND LONGEVITY HOMECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-26",
        "last_updated": "2024-11-26",
        "certification_date": "2024-11-26",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "TYKERIHA",
        "authorized_official_title_or_position": "OWNER/ ADMINISTRATOR",
        "authorized_official_telephone_number": "904-294-5271",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "372600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Life and Longevity Homecare LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Clare Liddon
• Anna Constance Lieber, MS
• Rachel Brenna Lieberman, AU.D.
• Shelley Ann Liebetrau, M.S., CF-SLP
• Thomas John Liesegang, M.D.
• Life Assistance and Management Agency
• Life Changing Solutions
• Life Counseling Center, Inc.
• Life Extension Clinics
• Life Journey Counseling, LLC

• Homemaker in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Homemaker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 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.