Longevity Hospice, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

LONGEVITY HOSPICE, INC.

Practice address

8781 Van Nuys Blvd
Panorama City, CA 91402-2401

Phone

(818) 313-9011

Fax

(818) 313-9012

NPI assigned

Feb 13, 2012

Last updated

Feb 18, 2022By 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

Mahfouz Michael, MDNPI 1447369103

Title

Ceo

Phone

(323) 999-8267

Specialties & licenses 1

Addresses

Listed as

Longevity Hospice, IncCCN 751662

Ownership

For-Profit

Certified

Feb 12, 2015

Medicare certification status

ActiveFrom the Provider of Services file

Locations

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.

• Mahfouz M Michael, MD

  • Family Medicine Physician
  • Huntington Park, CA
  • NPI 1447369103
  NPD (past) Authorized official

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

{
    "created_epoch": "1329091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645142400000",
    "number": "1497028021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8781 VAN NUYS BLVD",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "914022401",
            "telephone_number": "818-313-9011",
            "fax_number": "818-313-9012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8781 VAN NUYS BLVD",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "914022401",
            "telephone_number": "818-313-9011",
            "fax_number": "818-313-9012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONGEVITY HOSPICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-13",
        "last_updated": "2022-02-18",
        "certification_date": "2021-10-22",
        "status": "A",
        "authorized_official_last_name": "MICHAEL",
        "authorized_official_first_name": "MAHFOUZ",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "323-999-8267",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Liviu Chindris MD Inc
• Patrick Albert Lizardo
• Daniel Y. Loh, MD
• Charinda Lohaphaisan, PHARM.D.
• Patricia Lomboy
• Dori D Lopez, OPTICIAN
• Eduardo A. Lopez, M.D.
• Lilia V Lord, RD
• Los Angeles Health and Rehab, Inc.
• Loving Care Facility Inc.

• Community Based Hospice Care Agency in Panorama City, CA
• Providers in Panorama City, CA by specialty
• Community Based Hospice Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.