Longlive Health Care LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

LONGLIVE HEALTH CARE LLC

Practice address

10304 Eaton PL Ste 100
Fairfax, VA 22030-2221

Phone

(703) 942-9400

Fax

(703) 942-9700

NPI assigned

Jun 21, 2024

Last updated

Jun 21, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael Park

Title

Manager

Phone

(571) 633-5900

Specialties & licenses 1

Addresses

Tax ID family

Longlive Health Care LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Longlive Healthcare LLC

  • In Home Supportive Care Agency
  • Fairfax, VA
  • NPI 1871224980
  NPD tax ID

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

{
    "created_epoch": "1718928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718928000000",
    "number": "1184468407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10304 EATON PL STE 100",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220302221",
            "telephone_number": "703-942-9400",
            "fax_number": "703-942-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10304 EATON PL STE 100",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220302221",
            "telephone_number": "703-942-9400",
            "fax_number": "703-942-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONGLIVE HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-21",
        "last_updated": "2024-06-21",
        "certification_date": "2022-08-12",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "571-633-5900"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Elizabeth Lonergan, MSW
• Ruthann Eileen Long-Farias, LPC
• Christina Gail Long, BCBA, LBA
• James E Long, M.D.
• Stephanie Marie Long, PH.D., MSCP, ABPP
• Longlive Healthcare LLC
• Mariah Nichole Longmore, M.ED.
• Christine Marie Longo, DO
• Giovana Lopez Melgar
• Katherine Lopez-Paredes

• In Home Supportive Care Agency in Fairfax, VA
• Providers in Fairfax, VA by specialty
• In Home Supportive Care Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.