LONGEVITY WELLNESS GROUP, PLLC
NPI 1487597415
Clinic/Center - Health Service in West Bloomfield, MI
About Longevity Wellness Group, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LONGEVITY WELLNESS GROUP, PLLC (NPI 1487597415), doing business as Revive Longevity, is a healthcare organization registered as a health service in West Bloomfield, Michigan and active in the NPI registry since April 2026. The organization lists Brandon Hana, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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 Wellness Group, PLLC's NPI number?
The NPI number for Longevity Wellness Group, PLLC is 1487597415. It was assigned to this organization in the NPPES registry on April 13, 2026. The provider is doing business as Revive Longevity.
Where is Longevity Wellness Group, PLLC located?
Longevity Wellness Group, PLLC is located at 7479 Middlebelt Rd Ste 3, West Bloomfield, MI 48322. The listed phone number is (248) 387-9414.
What is Longevity Wellness Group, PLLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.
When was this NPI record last updated?
The NPPES record for Longevity Wellness Group, PLLC was last updated on April 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Longevity Wellness Group, Pllc · NPI 1487597415
Health Service organization in West Bloomfield, Michigan. Organization record, active in the CMS NPPES registry since April 13, 2026.
## Identity
- **NPI:** 1487597415 (Entity type: Organization)
- **Enumerated:** April 13, 2026
- **Primary specialty:** Clinic/Center - Health Service · taxonomy 261QH0100X
- **Also known as:** Revive Longevity (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Brandon Hana, OWNER
## Practice location
- **Address:** 7479 MIDDLEBELT RD STE 3, West Bloomfield, MI 48322-4175
- **Phone:** (248) 387-9414
## Record status
- **NPPES last updated:** April 13, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1487597415) · Data from the CMS NPPES public registry.