Provider Demographics
NPI:1942448956
Name:LONGEVITY HOME HEALTH SERVICES, INC.
Entity Type:Organization
Organization Name:LONGEVITY HOME HEALTH SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT, CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:G
Authorized Official - Last Name:TOUSSAINT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-898-5040
Mailing Address - Street 1:3800 INVERRARY BLVD
Mailing Address - Street 2:SUITE 101N
Mailing Address - City:LAUDERHILL
Mailing Address - State:FL
Mailing Address - Zip Code:33319-4382
Mailing Address - Country:US
Mailing Address - Phone:954-533-7175
Mailing Address - Fax:954-533-7141
Practice Address - Street 1:3800 INVERRARY BLVD
Practice Address - Street 2:SUITE 101N
Practice Address - City:LAUDERHILL
Practice Address - State:FL
Practice Address - Zip Code:33319-4382
Practice Address - Country:US
Practice Address - Phone:954-533-7175
Practice Address - Fax:954-533-7141
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-29
Last Update Date:2009-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health