OrganizationLongevity Health Services LlcHome HealthAgenciesPractice Address14229 37th Ave Ste M1, Flushing, NY 11354-4190(718) 618-4428PECOS EnrollmentBased on the most recent information from CMS, provider Longevity Health Services Llc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1427568716Provider TypeOrganizationFull NameLongevity Health Services LlcSubpartNoEnumeration Date10/2/2017Last Updated1/22/2019Contact InformationPractice LocationPractice Address14229 37th Ave Ste M1, Flushing, NY 11354-4190Phone(718) 618-4428FaxUnlisted FaxMailing LocationMailing Address13107 40th Rd Ste E5, Flushing, NY 11354-5205PhoneUnlisted PhoneFaxUnlisted FaxAuthorized OfficialNameZheng, Ni Xia (President)Phone(718) 618-4428Provider TaxonomiesCodeDescriptionLicenseCode251E00000XPrimaryDescriptionHome HealthAgenciesLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID04174892DescriptionMedicaidIssuerUnlistedNew York