Long Life Care Management LLC

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

Organization subpart

No

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

Authorized official

Name

Tracy English, DNP, APRN, FNP-BC

Title

Founder/Care Manager

Phone

(770) 217-7575

Specialties & licenses 2

Addresses

Other names 1

• Long Life Care Management Former legal business name

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"
        }
    ]
}

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• Case Management Agency in McDonough, GA
• Providers in McDonough, GA by specialty
• Case Management Agency in Georgia

• 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.