OrganizationActive
Longevity Health Park
NPI 1184307704 · Clinic/Center · Rockville, MD
Provider details
- NPI number
- 1184307704
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kristina Lovelace-Bailey, Managing Partner(917) 805-8922
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES 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
110 N Washington St Ste 115
Rockville, MD 20850-2223
Phone: (301) 291-5828
Street-level locationGet directions
Mailing address
110 N Washington St Ste 115
Rockville, MD 20850-2223
Other names (DBA / former)
- Doing business as
- Longevity Health Infusions/Incontrol
Registry dates
- Enumerated
- 2023-08-10
- Last updated
- 2023-08-10
- Certified
- 2023-08-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.