Organization Active NPI

Longevity Care

  • Home Health Agency
  • Mamaroneck, NY
National Provider Identifier
1275950495
Registry record updated Mar 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
L1835 Issued in NY
Legal business name
LONGEVITY CARE
Practice address
1600 Harrison Ave Ste 307C
Mamaroneck, NY 10543-3152
Phone
(914) 341-1027
Fax
(914) 560-2285
NPI assigned
Mar 26, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2014

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

Authorized official

Name
Mr. Edvard Joseph, OWNER
Title
Owner
Phone
(914) 341-1027

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X L1835 NY Primary

Addresses

Primary practice location

1600 Harrison Ave Ste 307C
Mamaroneck, NY 10543-3152

Mailing address

1600 Harrison Ave Ste 307C
Mamaroneck, NY 10543-3152
Phone (914) 341-1027

Other identifiers 1

IdentifierTypeStateIssuer
1835OtherNYLICENSE HOMECARE AGENCY

National Provider Directory

National Provider Directory

Locations

1600 Harrison Ave
Ste 307C
Mamaroneck, NY 10543
Phone (914) 341-1027

NPI Registry JSON

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

{
    "created_epoch": "1395792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395792000000",
    "number": "1275950495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 HARRISON AVE STE 307C",
            "city": "MAMARONECK",
            "state": "NY",
            "postal_code": "105433152",
            "telephone_number": "914-341-1027",
            "fax_number": "914-560-2285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 HARRISON AVE STE 307C",
            "city": "MAMARONECK",
            "state": "NY",
            "postal_code": "105433152",
            "telephone_number": "914-341-1027",
            "fax_number": "914-560-2285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONGEVITY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-26",
        "last_updated": "2014-03-26",
        "status": "A",
        "authorized_official_last_name": "JOSEPH",
        "authorized_official_first_name": "EDVARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "914-341-1027",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NY",
            "license": "L1835",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE HOMECARE AGENCY",
            "identifier": "1835",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mamaroneck, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2014; 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.