Longevity100 Homecare Agency LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

LONGEVITY100 HOMECARE AGENCY LLC

Practice address

1411 Walnut St
Blue Bell, PA 19422-3325

Phone

(267) 312-9327

NPI assigned

May 5, 2025

Organization subpart

No

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

Authorized official

Name

Ngan T Tchiong

Title

Owner

Phone

(267) 312-9327

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1746403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747526400000",
    "number": "1871382937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 WALNUT ST",
            "city": "BLUE BELL",
            "state": "PA",
            "postal_code": "194223325",
            "telephone_number": "267-312-9327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 WALNUT ST",
            "city": "BLUE BELL",
            "state": "PA",
            "postal_code": "194223325",
            "telephone_number": "267-312-9327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONGEVITY100 HOMECARE AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-05",
        "last_updated": "2025-05-18",
        "certification_date": "2025-05-18",
        "status": "A",
        "authorized_official_last_name": "TCHIONG",
        "authorized_official_first_name": "NGAN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "267-312-9327"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Lewis, CRNP
• Keith Libou
• Simmonette Ponferrada Libre-Sabio, PT
• Nora J Lin, MD
• Hugh Lipshutz, MD
• Jennifer Anne Lorine, D.O.
• Nicole K. Luetke, DO
• Joanne Marie Lynch, OTR/L
• Megan R Macdonnell, PSYD
• Marquita Mack, LICENSED PRACTICAL N

• In Home Supportive Care Agency in Blue Bell, PA
• Providers in Blue Bell, PA by specialty
• In Home Supportive Care Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 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.