NPIMap

Organization Active NPI

Long Life Care Management LLC

  • Case Management Agency
  • McDonough, GA
National Provider Identifier
1407401649
Registry record updated Sep 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
LONG LIFE CARE MANAGEMENT LLC
Practice address
2111 E Lake Rd Ste 100
McDonough, GA 30252-4930
Phone
(770) 217-7575
Fax
(770) 216-1850
NPI assigned
Aug 5, 2019
Last updated
Sep 4, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2019

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

Authorized official

Name
Tracy English, DNP, APRN, FNP-BCNPI 1720125834
Title
Founder/Care Manager
Phone
(770) 217-7575

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary
Nursing Care Agency 251J00000X

Addresses

Primary practice location

2111 E Lake Rd Ste 100
McDonough, GA 30252-4930

Mailing address

2111 E Lake Rd Ste 100
McDonough, GA 30252-4930
Phone (770) 217-7575

Other names 1

  • Long Life Care Management Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1564963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567555200000",
    "number": "1407401649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2111 E LAKE RD STE 100",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302524930",
            "telephone_number": "770-217-7575",
            "fax_number": "770-216-1850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2111 E LAKE RD STE 100",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302524930",
            "telephone_number": "770-217-7575",
            "fax_number": "770-216-1850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG LIFE CARE MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-05",
        "last_updated": "2019-09-04",
        "status": "A",
        "authorized_official_last_name": "ENGLISH",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "FOUNDER/CARE MANAGER",
        "authorized_official_telephone_number": "770-217-7575",
        "authorized_official_credential": "DNP, APRN, FNP-BC"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Long Life Care Management",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Long Life Care Management",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in McDonough, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2019; 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.