Organization · Type 2 NPI

Life Long Care Health System LLC

Home Health Agency · Phoenix, AZ

NPI number 1912618596 Active

Practice location

8433 N Black Canyon Hwy # 100-5
Phoenix, AZ 85021-4873

Specialties and licenses

Taxonomy	Code	License
Home Health Agency Primary	251E00000X	None listed
Community Based Hospice Care Agency	251G00000X	None listed

Home Health Agency: 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 organ…

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NPI record

NPI: 1912618596
Entity type: Organization (Type 2)
Issued: Dec 5, 2022
Last updated: Jul 22, 2023
Status: Active
Subpart: Yes of Life Long Care Health System LLC

Other names

Life Long Care Hospice & Palliative Care · doing business as
Life Long Care at Home Health · doing business as

Authorized official

Mr. Vaughn Beasley
CEO
(602) 318-7812

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About NPI 1912618596

Life Long Care Health System LLC's National Provider Identifier is 1912618596, issued on Dec 5, 2022. The primary taxonomy on file is Home Health Agency (251E00000X), and the practice location is in Phoenix, AZ. The record was last updated on Jul 22, 2023.