Active NPI
Long Life Health Care, Inc.
- Developmental Disabilities Clinic/Center
- Homestead, FL
National Provider Identifier
1720554686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Disabilities Clinic/Center
- Legal business name
- LONG LIFE HEALTH CARE, INC.
- Practice address
- 28062 SW 164TH PL
Homestead, FL 33033-1056 - Phone
- (786) 837-1192
- NPI assigned
- Oct 18, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Sayli Rodriguez
- Title
- Ceo
- Phone
- (786) 837-1192
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Disabilities Clinic/Center | 261QD1600X | Primary |
Addresses
Primary practice location
28062 SW 164TH PL
Homestead, FL 33033-1056
Mailing address
28062 SW 164TH PL
Homestead, FL 33033-1056
Phone (786) 797-9950
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539820800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1545177600000",
"number": "1720554686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28062 SW 164TH PL",
"city": "HOMESTEAD",
"state": "FL",
"postal_code": "330331056",
"telephone_number": "786-797-9950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28062 SW 164TH PL",
"city": "HOMESTEAD",
"state": "FL",
"postal_code": "330331056",
"telephone_number": "786-837-1192"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LONG LIFE HEALTH CARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2018-10-18",
"last_updated": "2018-12-19",
"status": "A",
"authorized_official_last_name": "RODRIGUEZ",
"authorized_official_first_name": "SAYLI",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "786-837-1192",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "261QD1600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Developmental Disabilities",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Homestead, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.