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Longevity Nc, LLC

Community/Behavioral Health Agency in Waxhaw, NC · enumerated 2026 · authorized official Anthony Tyler, Co-Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1174467179

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Registry record

Entity type Organization (Type 2)
Legal business name Longevity Nc, LLC
Practice address 2006 Belleforest Ct, Waxhaw, NC, 28173
Fax (804) 800-2600
Enumeration date Apr 18, 2026
Last updated in NPPES Apr 29, 2026

Taxonomy & classification

251S00000X Community/Behavioral Health Agency Agencies Primary

Authorized official

Name Anthony Tyler
Title Co-Owner

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2026-04-29. Verify at npiregistry.cms.hhs.gov.
Where is Longevity Nc, LLC located?
The practice location on file with NPPES is in Waxhaw, NC.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-04-29.