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

Q: What is the provider's specialty?

The provider's specialty is In Home Supportive Care with taxonomy code 253Z00000X.

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: July 19, 2026.

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

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NPI Profile Information
Primary Taxonomy
Authorized Official
Other Providers Same Location
Frequently Asked Questions

Organization
In Home Supportive Care

About LONGLIVE HEALTHCARE LLC

This page provides the complete NPI Profile along with additional information for Longlive Healthcare Llc, a provider established in Fairfax, Virginia operating as a In Home Supportive Care. The healthcare provider is registered in the NPI registry with number 1871224980 assigned on June 2022. The practitioner's primary taxonomy code is 253Z00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Ms. Sharon Moon Park (President)

NPI: 1871224980 Verify this NPI
Provider Name: LONGLIVE HEALTHCARE LLC
Entity Type: Organization
Location Address: 10304 EATON PL STE 100 FAIRFAX, VA 22030
Location Phone: (571) 633-5900
Mailing Address: 10304 EATON PL STE 100 FAIRFAX, VA 22030
Mailing Phone: (571) 633-5900
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 06-20-2022
Last Update Date: 07-03-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: In Home Supportive Care
Taxonomy Code: 253Z00000X
Type: Agencies
Taxonomy Description: 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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name: MS. SHARON MOON PARK
Authorized Official Title: PRESIDENT
Authorized Official Phone: (716) 230-2555