OrganizationActive
Longevity Nc, LLC
NPI 1174467179 · Community/Behavioral Health Agency · Waxhaw, NC
Longevity Nc, LLC is a Community/Behavioral Health Agency organization in Waxhaw, NC (NPI 1174467179).
Provider details
- NPI number
- 1174467179
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Anthony Tyler, Co-Owner(804) 800-2500
Specialties & taxonomies
Agencies
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2006 Belleforest Ct
Waxhaw, NC 28173-7381
Phone: (804) 800-2500
Fax: (804) 800-2600
Street-level locationGet directions
Mailing address
2006 Belleforest Ct
Waxhaw, NC 28173-7381
Registry dates
- Enumerated
- 2026-04-18
- Last updated
- 2026-04-29
- Certified
- 2026-04-29
Frequently asked questions
- What is Longevity Nc, LLC's NPI number?
- Longevity Nc, LLC's National Provider Identifier (NPI) is 1174467179, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Longevity Nc, LLC?
- Longevity Nc, LLC is classified in the NPPES registry as Community/Behavioral Health Agency (Agencies).
- Where is Longevity Nc, LLC located?
- Longevity Nc, LLC's practice location on file with NPPES is 2006 Belleforest Ct, Waxhaw, NC 28173-7381.
- What is Longevity Nc, LLC's phone number?
- The practice phone number listed in the NPPES registry for Longevity Nc, LLC is (804) 800-2500.
- Who is the authorized official for Longevity Nc, LLC?
- The authorized official listed on Longevity Nc, LLC's NPPES record is Anthony Tyler, Co-Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Longevity Nc, LLC's NPI active?
- Yes — Longevity Nc, LLC's NPI (1174467179) is active in the NPPES registry as of the last update on 2026-04-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.