Life Long Experiences Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

LIFE LONG EXPERIENCES INC.

Practice address

22125 S Dixie Hwy
Miami, FL 33170-2840

Phone

(305) 431-5786

NPI assigned

Sep 20, 2019

Organization subpart

No

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

Authorized official

Name

Quayshon Mendez

Title

Ceo

Phone

(305) 431-5786

Specialties & licenses 1

Addresses

Other names 1

• Quayshon Mendez Doing business as

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

{
    "created_epoch": "1568937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568937600000",
    "number": "1699326736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15230 SW 108TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331571316",
            "telephone_number": "305-431-5786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22125 S DIXIE HWY",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331702840",
            "telephone_number": "305-431-5786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE LONG EXPERIENCES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-20",
        "last_updated": "2019-09-20",
        "status": "A",
        "authorized_official_last_name": "MENDEZ",
        "authorized_official_first_name": "QUAYSHON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "305-431-5786"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Quayshon Mendez",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Health Agency in Miami, FL
• Providers in Miami, FL by specialty
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.