LONGEVITY HEALTHCARE LLC NPI 1316804495

NPI Information

  • NPI: 1316804495
  • Provider Name: LONGEVITY HEALTHCARE LLC
  • Classification: Family Medicine - 207QG0300X
  • Specialization: Geriatric Medicine
  • Entity Type: Organization
  • Address: 111 ALICE LN
    MOUNT POCONO, PA
    ZIP 18344
  • Phone: (570) 972-7879

Map and Directions

Get Directions

NPI Details

LONGEVITY HEALTHCARE LLC is a geriatric medicine family medicine in Mount Pocono, PA. The provider is a family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. LONGEVITY HEALTHCARE LLC NPI is 1316804495. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

111 ALICE LN
MOUNT POCONO, PA
ZIP 18344-100
Phone: (570) 972-7879
Fax: (570) 867-9725

The provider's authorized official is Lisa Hanna .
The authorized official title is Owner/provider and has the following contact phone number (570) 436-8591.

The enumeration date for this NPI number is 1/8/2026 and was last updated on 1/8/2026.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207QG0300XFamily MedicineGeriatric MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI