Longevity Home Care LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

LONGEVITY HOME CARE LLC

Practice address

1102 Cabana LN
Garland, TX 75042-5329

Phone

(469) 321-3066

NPI assigned

Jun 8, 2017

Organization subpart

No

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

Authorized official

Name

William Quach

Title

Administrator/Dir

Phone

(469) 321-3066

Specialties & licenses 3

Addresses

Other identifiers 1

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

{
    "created_epoch": "1496880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740009600000",
    "number": "1902335334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2709 BECHTOL ST",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750424021",
            "telephone_number": "469-321-3066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 CABANA LN",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750425329",
            "telephone_number": "469-321-3066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONGEVITY HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-08",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A",
        "authorized_official_last_name": "QUACH",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "ADMINISTRATOR/DIR",
        "authorized_official_telephone_number": "469-321-3066"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3747A0650X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Attendant Care Provider",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3747P1801X",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lone Star Internal Medicine Associates
• Lone Star Internal Medicine Associates
• Lone Star Pharmacy LTD
• Lonestar Medical Equipment LLC
• Stephanie NA Shay Long
• Susana Lopez Gonazalez
• Ernesto Lopez
• Gabriella Lopez
• Rosie Lopez
• Vanessa Lopez

• In Home Supportive Care Agency in Garland, TX
• Providers in Garland, TX by specialty
• In Home Supportive Care Agency in Texas

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