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LONGEVITY NC, LLC
NPI 1174467179
Community/Behavioral Health in Waxhaw, NC

Active since April 18, 2026
2006 BELLEFOREST CT, WAXHAW, NC 28173(804) 800-2500(804) 800-2600 Get Directions Write a Review

NPPES record last updated: April 29, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 29, 2026, Apr 18, 2026 (2 updates tracked since 2026).

About Longevity Nc, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LONGEVITY NC, LLC (NPI 1174467179) is a healthcare organization registered as a community/behavioral health in Waxhaw, North Carolina and active in the NPI registry since April 2026. The organization lists Anthony Tyler, Co-owner, as its authorized official.

NPPES Registry Identity

NPI1174467179
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameLONGEVITY NC, LLC
Location Address2006 BELLEFOREST CTWaxhaw, NC 28173-7381
Mailing Address2006 Belleforest CtWaxhaw, NC 28173-7381 · (804) 800-2500 · Fax (804) 800-2600
Phone(804) 800-2500
Fax(804) 800-2600
Organization SubpartNo
Authorized OfficialAnthony TylerCo-owner · (804) 800-2500
Enumeration DateApril 18, 2026
Last NPPES UpdateApril 29, 20262 updates tracked since enumeration
NPPES CertifiedApril 29, 2026
✔ NPI 1174467179 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
2006 BELLEFOREST CT, Waxhaw, NC 28173
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Longevity Nc, LLC's NPI number?

The NPI number for Longevity Nc, LLC is 1174467179. It was assigned to this organization in the NPPES registry on April 18, 2026.

Where is Longevity Nc, LLC located?

Longevity Nc, LLC is located at 2006 Belleforest Ct, Waxhaw, NC 28173. The listed phone number is (804) 800-2500.

What is Longevity Nc, LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Longevity Nc, LLC was last updated on April 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.