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LONGEVITY HEALTHCARE LLC
NPI 1487541405
Home Health in Woodstock, GA

Active since June 23, 2025
906 RIVER ROCK DR # 30188, WOODSTOCK, GA 30188(404) 921-4511 Get Directions Write a Review

NPPES record last updated: June 23, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Longevity Healthcare Llc NPPES

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

LONGEVITY HEALTHCARE LLC (NPI 1487541405) is a healthcare organization registered as a home health in Woodstock, Georgia and active in the NPI registry since June 2025. The organization lists Edward Nimene Kofa, Administrator, as its authorized official.

NPPES Registry Identity

NPI1487541405
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameLONGEVITY HEALTHCARE LLC
Location Address906 RIVER ROCK DR # 30188Woodstock, GA 30188-5337
Mailing Address906 River Rock Dr # 30188Woodstock, GA 30188-5337 · (404) 921-4511
Phone(404) 921-4511
Organization SubpartNo
Authorized OfficialEdward Nimene KofaAdministrator · (404) 921-4511
Enumeration DateJune 23, 2025
NPPES CertifiedJune 22, 2025
✔ NPI 1487541405 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
906 RIVER ROCK DR # 30188, Woodstock, GA 30188
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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 Healthcare LLC's NPI number?

The NPI number for Longevity Healthcare LLC is 1487541405. It was assigned to this organization in the NPPES registry on June 23, 2025.

Where is Longevity Healthcare LLC located?

Longevity Healthcare LLC is located at 906 River Rock Dr # 30188, Woodstock, GA 30188. The listed phone number is (404) 921-4511.

What is Longevity Healthcare LLC's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

When was this NPI record last updated?

The NPPES record for Longevity Healthcare LLC was last updated on June 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.