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LONGLIVE HEALTHCARE LLC
NPI 1871224980
In Home Supportive Care in Fairfax, VA

Active since June 20, 2022
10304 EATON PL STE 100, FAIRFAX, VA 22030(571) 633-5900 Get Directions Write a Review

NPPES record last updated: July 3, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 3, 2024, Aug 31, 2022 (2 updates tracked since 2022).

About Longlive Healthcare Llc NPPES

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

LONGLIVE HEALTHCARE LLC (NPI 1871224980) is a healthcare organization registered as an in home supportive care in Fairfax, Virginia and active in the NPI registry since June 2022. The organization lists Sharon Moon Park, President, as its authorized official.

NPPES Registry Identity

NPI1871224980
Entity TypeOrganization
Primary Taxonomy253Z00000X
Legal Business NameLONGLIVE HEALTHCARE LLC
Location Address10304 EATON PL STE 100Fairfax, VA 22030-2221
Mailing Address10304 Eaton Pl Ste 100Fairfax, VA 22030-2221 · (571) 633-5900
Phone(571) 633-5900
Organization SubpartNo
Authorized OfficialSharon Moon ParkPresident · (716) 230-2555
Enumeration DateJune 20, 2022
Last NPPES UpdateJuly 3, 20242 updates tracked since enumeration
NPPES CertifiedJune 21, 2024
✔ NPI 1871224980 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIn Home Supportive CareAgencies
Taxonomy Code253Z00000X
Definition
An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.
10304 EATON PL STE 100, Fairfax, VA 22030
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Other Providers at the Same Location NPPES 20

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

CALVIN LAYNE III PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
10304 EATON PL STE 100
FAIRFAX, VA 22030
Fairfax City (571) 463-8620
VALERIE KAY KEEHN BCBA
Behavior Analyst
10304 EATON PL STE 100
FAIRFAX, VA 22030
Fairfax City (855) 295-3276
KODA BRINKER PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
10304 EATON PL STE 100
FAIRFAX, VA 22030
Fairfax City (571) 463-8620
LIFESPEED MEDICAL, LLC
Durable Medical Equipment & Medical Supplies
10304 EATON PL STE 100
FAIRFAX, VA 22030
Fairfax City (352) 232-3540
LIBAN ABDALLA
Behavior Technician
10304 EATON PL STE 100
FAIRFAX, VA 22030
Fairfax City (813) 761-0264
ANIKA LAMBA
Behavior Technician
10304 EATON PL STE 100
FAIRFAX, VA 22030
Fairfax City (813) 461-0264
FOR THE GOOD THERAPEUTIC SERVICES INC.
Counselor (Professional)
10304 EATON PL STE 100
FAIRFAX, VA 22030
Fairfax City (571) 412-1791
ANGIE IRAHETA GRUESSING
Behavior Technician
10304 EATON PL STE 100
FAIRFAX, VA 22030
Fairfax City (813) 761-0264

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 Longlive Healthcare LLC's NPI number?

The NPI number for Longlive Healthcare LLC is 1871224980. It was assigned to this organization in the NPPES registry on June 20, 2022.

Where is Longlive Healthcare LLC located?

Longlive Healthcare LLC is located at 10304 Eaton Pl Ste 100, Fairfax, VA 22030. The listed phone number is (571) 633-5900.

What is Longlive Healthcare LLC's specialty?

The primary specialty registered for this NPI is In Home Supportive Care with taxonomy code 253Z00000X.

When was this NPI record last updated?

The NPPES record for Longlive Healthcare LLC was last updated on July 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.