Longevity Healthcare LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

LONGEVITY HEALTHCARE LLC

Practice address

906 River Rock Dr # 30188
Woodstock, GA 30188-5337

Phone

(404) 921-4511

NPI assigned

Jun 23, 2025

Last updated

Oct 1, 2026By 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

Edward Nimene Kofa Jr.

Title

Administrator

Phone

(404) 921-4511

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1750636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790812800000",
    "number": "1487541405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "906 RIVER ROCK DR # 30188",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301885337",
            "telephone_number": "404-921-4511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "906 RIVER ROCK DR # 30188",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301885337",
            "telephone_number": "404-921-4511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONGEVITY HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-23",
        "last_updated": "2026-10-01",
        "certification_date": "2026-10-01",
        "status": "A",
        "authorized_official_last_name": "KOFA",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "NIMENE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "404-921-4511",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah-Margaret Locke, PT, DPT
• Robin Loe, MD
• Cristian Lomeli
• Lina London
• Longer Life Services of Ga Corporation
• Lookout Community Service
• Lookout Mountain Community Service
• Daniella Lopez, RBT
• Jorge L Lopez, PAC
• Nicole Loprinzo, DMD

• Home Health Agency in Woodstock, GA
• Providers in Woodstock, GA by specialty
• Home Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2026; 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.