Longlife Health Care

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

LONGLIFE HEALTH CARE

Practice address

4115 Annandale Rd Ste 308
Annandale, VA 22003-2500

Phone

(703) 354-9111

NPI assigned

Feb 19, 2019

Last updated

Aug 9, 2019By 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

Sharon S LeeNPI 1295209138

Title

President

Phone

(703) 354-9111

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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.

• Sharon Suyon Lee

  • Home Health Aide
  • Annandale, VA
  • NPI 1295209138
  NPD (past) Authorized official

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

{
    "created_epoch": "1550534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565308800000",
    "number": "1528524196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4115 ANNANDALE RD STE 308",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220032500",
            "telephone_number": "703-354-9111",
            "fax_number": "703-354-9113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4115 ANNANDALE RD STE 308",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220032500",
            "telephone_number": "703-354-9111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONGLIFE HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-19",
        "last_updated": "2019-08-09",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-354-9111"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HCO-202037",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Annandale",
            "affiliation": "N",
            "address_1": "4115 Annandale Rd Ste 308",
            "city": "Annandale",
            "state": "VA",
            "country_code": "US",
            "postal_code": "220032500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Living Free Health Services
• Karen Livornese, RN, MSN
• Robert Lobo
• Monica Lopez-Rivera, DC
• Matthew D Lopez, DDS
• Lotus Home Health Care LLC
• Loudoun Medical Group, PC (Alexandria Podiatry Associates)
• Loudoun Medical Group, PC (Virginia Women's Health Associates)

• Home Health Agency in Annandale, VA
• Providers in Annandale, VA by specialty
• Home Health Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 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.