Active NPI
Longevity Care
- Home Health Agency
- Mamaroneck, NY
National Provider Identifier
1275950495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- L1835
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1835 | Other | NY | LICENSE HOMECARE AGENCY |
National Provider Directory
National Provider DirectoryLocations
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.