Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Longevity Center LLC

Organization Family Medicine Physician · NPI 1144499195

Longevity Center LLC is a Family Medicine Physician in Grand Rapids, Michigan. Licensed in Michigan. Registered with an NPI since 2008.

Licensed in
MI
In the registry since
2008
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2251 E Paris Ave SE
Grand Rapids, MI 49546-2431
Phone: (616) 956-6090
Fax: (616) 956-6099
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 5101007920 (MI)

Record details

NPI number1144499195
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cheryl Allen — Billing Manager · (616) 897-2142
NPI enumeratedFebruary 25, 2008
Last updated in NPPESMay 14, 2009
Mailing address2251 E Paris Ave Se, Grand Rapids, MI 49546-2431

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