Longevity Healthcare LLC
NPI 1316804495 · Geriatric Medicine (Family Medicine) Physician · Mount Pocono, PA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Longevity Healthcare LLC is a Geriatric Medicine (Family Medicine) Physician organization in Mount Pocono, PA (NPI 1316804495).
Provider details
- NPI number
- 1316804495
- Entity type
- Organization
- Primary specialty
- Geriatric Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Lisa Hanna, Owner/Provider(570) 436-8591
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
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
Mailing address
Registry dates
- Enumerated
- 2026-01-08
- Last updated
- 2026-01-08
- Certified
- 2026-01-08
Frequently asked questions
- What is Longevity Healthcare LLC's NPI number?
- Longevity Healthcare LLC's National Provider Identifier (NPI) is 1316804495, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Longevity Healthcare LLC?
- Longevity Healthcare LLC is classified in the NPPES registry as Geriatric Medicine (Family Medicine) Physician (Allopathic & Osteopathic Physicians).
- Where is Longevity Healthcare LLC located?
- Longevity Healthcare LLC's practice location on file with NPPES is 111 Alice Ln, Mount Pocono, PA 18344-7100.
- What is Longevity Healthcare LLC's phone number?
- The practice phone number listed in the NPPES registry for Longevity Healthcare LLC is (570) 972-7879.
- Does Longevity Healthcare LLC accept Medicare?
- Longevity Healthcare LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Longevity Healthcare LLC?
- The authorized official listed on Longevity Healthcare LLC's NPPES record is Lisa Hanna, Owner/Provider. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Longevity Healthcare LLC's NPI active?
- Yes — Longevity Healthcare LLC's NPI (1316804495) is active in the NPPES registry as of the last update on 2026-01-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.