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LONGEVITY HEALTH PARK
NPI 1184307704
Clinic/Center in Rockville, MD

Active since August 10, 2023
110 N WASHINGTON ST STE 115, ROCKVILLE, MD 20850(301) 291-5828 Get Directions Write a Review

NPPES record last updated: August 10, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Longevity Health Park NPPES

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

LONGEVITY HEALTH PARK (NPI 1184307704), doing business as Longevity Health Infusions/incontrol, is a healthcare organization registered as a clinic/center in Rockville, Maryland and active in the NPI registry since August 2023. The organization lists Kristina Lovelace-bailey, Managing Partner, as its authorized official.

NPPES Registry Identity

NPI1184307704
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameLONGEVITY HEALTH PARK
Location Address110 N WASHINGTON ST STE 115Rockville, MD 20850-2223
Mailing Address110 N Washington St Ste 115Rockville, MD 20850-2223 · (301) 291-5828
Phone(301) 291-5828
Organization SubpartNo
Authorized OfficialKristina Lovelace-baileyManaging Partner · (917) 805-8922
Enumeration DateAugust 10, 2023
NPPES CertifiedAugust 10, 2023
✔ NPI 1184307704 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
110 N WASHINGTON ST STE 115, Rockville, MD 20850
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Other Names 1

Doing Business AsLongevity Health Infusions/incontrol

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 Health Park's NPI number?

The NPI number for Longevity Health Park is 1184307704. It was assigned to this organization in the NPPES registry on August 10, 2023. The provider is doing business as Longevity Health Infusions/inControl.

Where is Longevity Health Park located?

Longevity Health Park is located at 110 N Washington St Ste 115, Rockville, MD 20850. The listed phone number is (301) 291-5828.

What is Longevity Health Park's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Longevity Health Park was last updated on August 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.