Longevity Home Healthcare
Registered Nurse, Home Health in Alhambra, CA. Organization (NPI-2).
NPI number1023979002
StatusActive
Last updated in NPPESNov 19, 2025
Details
- NPI
- 1023979002
- Entity type
- Organization (NPI-2)
- Legal business name
- Longevity Home Healthcare
- Organization subpart
- No
- Enumeration date
- Nov 19, 2025
- Certification date
- Nov 19, 2025
- Last updated
- Nov 19, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WH0200X | Registered Nurse, Home Health | – | – | Yes |
Practice location
841 S Sierra Vista AveAlhambra, CA 91801-4530
Phone 626-353-9017
Mailing address
841 S Sierra Vista AveAlhambra, CA 91801-4530
Authorized official
Rebecca Wannien Chang
Owner
6263539017
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