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LONGEVITY CARE LLC
NPI 1467158121
Preventive Medicine - Public Health & General Preventive Medicine in Ellisville, MO

Active since February 03, 2023CLIA 26D2278549 · Waiver
221 CLARKSON EXECUTIVE PARK, ELLISVILLE, MO 63011(314) 741-3800(314) 741-3801 Get Directions Write a Review

NPPES record last updated: March 2, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 2, 2023, Feb 3, 2023 (2 updates tracked since 2023).

About Longevity Care Llc NPPES

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

LONGEVITY CARE LLC (NPI 1467158121) is a healthcare organization registered as a public health & general preventive medicine in Ellisville, Missouri and active in the NPI registry since February 2023. The organization holds a CLIA Waiver certificate valid through March 19, 2027 and lists Sikander M Bajwa, Ceo, as its authorized official.

NPPES Registry Identity

NPI1467158121
Entity TypeOrganization
Primary Taxonomy2083P0901X
Legal Business NameLONGEVITY CARE LLC
Location Address221 CLARKSON EXECUTIVE PARKEllisville, MO 63011-2173
Mailing Address219 Clarkson Executive ParkEllisville, MO 63011-2173 · (314) 741-3800 · Fax (314) 741-3801
Phone(314) 741-3800
Fax(314) 741-3801
Organization SubpartNo
Authorized OfficialSikander M BajwaCeo · (314) 616-1276
Enumeration DateFebruary 3, 2023
Last NPPES UpdateMarch 2, 20232 updates tracked since enumeration
NPPES CertifiedMarch 2, 2023
✔ NPI 1467158121 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreventive Medicine · Public Health & General Preventive MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2083P0901X
Definition

Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings.

221 CLARKSON EXECUTIVE PARK, Ellisville, MO 63011
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 26D2278549

Longevity Care LLC · Ellisville, MO
Active · expires Mar 19, 2027
CLIA Number26D2278549
Laboratory TypeIndependent
Certificate Effective DateMarch 20, 2025
Certificate Expiration DateMarch 19, 2027
Laboratory DirectorSikander M. Bajwa
Laboratory Phone(314) 741-3800
Laboratory LocationLongevity Care LLC15421 Clayton Road, Suite G1, Ellisville, MO 63011
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CRESCENT HOME CARE, LLC
In Home Supportive Care
221 CLARKSON EXECUTIVE PARK
ELLISVILLE, MO 63011
St. Louis County (314) 741-3800

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 Care LLC's NPI number?

The NPI number for Longevity Care LLC is 1467158121. It was assigned to this organization in the NPPES registry on February 3, 2023.

Where is Longevity Care LLC located?

Longevity Care LLC is located at 221 Clarkson Executive Park, Ellisville, MO 63011. The listed phone number is (314) 741-3800.

What is Longevity Care LLC's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Public Health & General Preventive Medicine, with taxonomy code 2083P0901X.

Does Longevity Care LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D2278549) is associated with this NPI, valid through March 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Longevity Care LLC was last updated on March 2, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.