Organization Active NPI

Longevity Care, Inc.

  • In Home Supportive Care Agency
  • Newton, MA
National Provider Identifier
1578818845
Registry record updated Jan 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
LONGEVITY CARE, INC.
Practice address
1320 Centre St Ste 200
Newton, MA 02459-2400
Phone
(617) 916-1060
Fax
(617) 323-0680
NPI assigned
Jul 23, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2025

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

Authorized official

Name
Ludmila Costiv
Title
Owner
Phone
(617) 916-1060

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary
Assisted Living Facility 310400000X
Custodial Care Facility 311Z00000X
Adult Care Home Facility 311ZA0620X

Addresses

Primary practice location

1320 Centre St Ste 200
Newton, MA 02459-2400

Mailing address

1320 Centre St Ste 200
Newton, MA 02459-2400
Phone (617) 916-1060

National Provider Directory

National Provider Directory

Locations

1320 Centre St
Ste 200
Newton, MA 02459
Phone (617) 916-1060

NPI Registry JSON

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

{
    "created_epoch": "1343001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736467200000",
    "number": "1578818845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 CENTRE ST STE 200",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024592400",
            "telephone_number": "617-916-1060",
            "fax_number": "617-916-2682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 CENTRE ST STE 200",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024592400",
            "telephone_number": "617-916-1060",
            "fax_number": "617-323-0680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONGEVITY CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-23",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-10",
        "status": "A",
        "authorized_official_last_name": "COSTIV",
        "authorized_official_first_name": "LUDMILA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-916-1060"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 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.