Organization Active NPI

Longevity Home Health Care Inc

  • Home Health Agency
  • Miami Lakes, FL
National Provider Identifier
1164680401
Registry record updated Jun 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
LONGEVITY HOME HEALTH CARE INC
Practice address
15327 NW 60TH Ave
Suite 235
Miami Lakes, FL 33014-2429
Phone
(305) 821-0076
Fax
(305) 821-0087
NPI assigned
May 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2008

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

Authorized official

Name
Mr. Pedro Gonzalez Mollineda, RN
Title
Administrator / Don
Phone
(305) 821-0076

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

15327 NW 60TH Ave
Suite 235
Miami Lakes, FL 33014-2429

Mailing address

15327 NW 60TH Ave
Suite 235
Miami Lakes, FL 33014-2429
Phone (305) 821-0076

Other identifiers 1

IdentifierTypeStateIssuer
299993125OtherFLHOME HEALTH AGENCY LICENSE

National Provider Directory

National Provider Directory

Locations

15327 NW 60th Ave
Ste 235
Miami Lakes, FL 33014
Phone (305) 821-0076

NPI Registry JSON

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

{
    "created_epoch": "1211414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1164680401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15327 NW 60TH AVE",
            "address_2": "SUITE 235",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142429",
            "telephone_number": "305-821-0076",
            "fax_number": "305-821-0087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15327 NW 60TH AVE",
            "address_2": "SUITE 235",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142429",
            "telephone_number": "305-821-0076",
            "fax_number": "305-821-0087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONGEVITY HOME HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-22",
        "last_updated": "2008-06-25",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ MOLLINEDA",
        "authorized_official_first_name": "PEDRO",
        "authorized_official_title_or_position": "ADMINISTRATOR / DON",
        "authorized_official_telephone_number": "305-821-0076",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOME HEALTH AGENCY LICENSE",
            "identifier": "299993125",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; 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.