Life Long Care Health System LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

LIFE LONG CARE HEALTH SYSTEM LLC

Practice address

8433 N Black Canyon Hwy # 100-5
Phoenix, AZ 85021-4873

Phone

(602) 318-7812

NPI assigned

Dec 5, 2022

Organization subpart

Yes

Parent organization

LIFE LONG CARE HEALTH SYSTEM LLCAs reported in NPPES

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

Authorized official

Name

Mr. Vaughn Beasley

Title

Ceo

Phone

(602) 318-7812

Specialties & licenses 2

Addresses

Other names 2

• Life Long Care Hospice & Palliative Care Doing business as
• Life Long Care at Home Health Doing business as

Part of

Life Long Care Health System LLC

Locations

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

{
    "created_epoch": "1670198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689984000000",
    "number": "1912618596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8433 N BLACK CANYON HWY # 100-5",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850214873",
            "telephone_number": "602-318-7812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8433 N BLACK CANYON HWY # 100-5",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850214873",
            "telephone_number": "602-318-7812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE LONG CARE HEALTH SYSTEM LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LIFE LONG CARE HEALTH SYSTEM LLC",
        "enumeration_date": "2022-12-05",
        "last_updated": "2023-07-22",
        "certification_date": "2023-07-22",
        "status": "A",
        "authorized_official_last_name": "BEASLEY",
        "authorized_official_first_name": "VAUGHN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "602-318-7812",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Life Long Care Hospice & Palliative Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Life Long Care at Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2023; 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.