LONGEVITY CARE PROVIDERS INC (NPI# 1225485857) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225485857 |
| Entity Type | Organization |
| Organization Name | LONGEVITY CARE PROVIDERS INC |
| Practice Address |
175 Mcmurray Rd Ste H Buellton CA 93427-9576 |
| Practice Telephone | 8058967594 |
| Practice Fax Number | 8056869140 |
| Mailing Telephone | 8058967594 |
| Mailing Fax Number | 8056869140 |
| Enumeration Date | 2016-05-24 |
| Last Update Date | 2016-05-24 |
| Authorized Official Name | MS. IVA MURIAL STANLEY (PRESIDENT/CEO) |
| Authorized Official Telephone | 8058967594 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | 1271242752P381E3 | CA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | EDD | 1271242752P381E381 | 01 |
| Street Address |
175 MCMURRAY RD STE H |
| City | BUELLTON |
| State | CA |
| Zip Code | 93427-9576 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154960367 | Sharayza Rachael Jackson | Behavior Technician | 240 E Hwy 246 #210, Buellton, Ca 93427, #210, Buellton, CA 93427 | 2020-01-06 |
| 1245633346 | Ascend Acupuncture | Acupuncturist | 243 Glennora Way, Buellton, CA 93427 | 2014-10-02 |
| 1073816328 | Ana P Tapia | Behavioral Analyst | 301 Second St, Buellton, CA 93427 | 2010-12-08 |
| 1467664532 | Wolfgang C Hallauer | General Practice | 185 W. Hwy 246, Suite 102, Buellton, CA 93427 | 2007-05-03 |
| 1396851630 | James Jinsoo Kim | Dentist | 240 E. Hwy 246, Suite 108, Buellton, CA 93427 | 2006-08-21 |
| 1912934373 | Kathryn Burkley | Dietitian, Registered | 210 S. Palisade Dr., Suite 200, Buellton, CA 93427 | 2006-06-28 |
| 1750387882 | Andrew Zane West | Chiropractor | 90 W. Hwy 246, #1, Buellton, CA 93427 | 2005-06-23 |
| 1346370228 | Lori Allison Craviotto | Chiropractor | 90 W. Hwy 246, Buellton, CA 93427 | 2007-03-07 |
| 1023533692 | Cac Oak Valley Center | Counselor | 595 2nd St Rm 109, Buellton, CA 93427-6801 | 2017-08-04 |
| 1376722603 | Santa Barbara County Schools | Local Education Agency (LEA) | 595 2nd St, Buellton, CA 93427-6801 | 2007-11-02 |
| Find all providers in zip 93427 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| 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. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
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| 1265033062 | Cityrose Home Health Services Inc. | Home Health | 2107 W Manchester Ave Ste 206, Los Angeles, CA 90047-2953 | 2020-11-06 |
| 1588265441 | Tender Home Health | Home Health | 17031 Chatsworth St Ste 201, Granada Hills, CA 91344-5883 | 2020-11-05 |
| 1417558644 | Assure Home Health Care | Home Health | 217 N Verdugo Rd Apt D, Glendale, CA 91206-5237 | 2020-11-04 |
| 1467053579 | Renewed Home Health, Inc. | Home Health | 1965 Yosemite Drive #110, Simi Valley, CA 93063 | 2020-11-04 |
| 1184225203 | Burbank City Home Health, Inc | Home Health | 2000 W Magnolia Blvd Ste 205, Burbank, CA 91506-1707 | 2020-11-04 |
| 1851992267 | Galaxy Home Health | Home Health | 13647 Vanowen St Ste C, Van Nuys, CA 91405-4262 | 2020-11-03 |
| 1053912436 | Adonai Home Health Care | Home Health | 1010 N Central Ave # 410, Glendale, CA 91202-2937 | 2020-11-03 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.