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

Organization subpart

No

Name

Edward Nimene Kofa Jr.

Title

Administrator

Phone

(404) 921-4511

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 23, 2025.

{
    "created_epoch": "1750636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750636800000",
    "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": "2025-06-23",
        "certification_date": "2025-06-22",
        "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
        }
    ],
    "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

• All providers in Woodstock, GA
• Home Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2025; 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.