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

Longevity Healthcare LLC

Organization Geriatric Medicine (Family Medicine) Physician · NPI 1316804495

Longevity Healthcare LLC is a Geriatric Medicine (Family Medicine) Physician in Mount Pocono, Pennsylvania. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

111 Alice Ln
Mount Pocono, PA 18344-7100
Phone: (570) 972-7879
Fax: (570) 867-9725
Show map & directions

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

Specialties & licences

Geriatric Medicine (Family Medicine) Physician (primary) Taxonomy 207QG0300X

Record details

NPI number1316804495
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lisa Hanna — Owner/Provider · (570) 436-8591
NPI enumeratedJanuary 8, 2026
Last updated in NPPESJanuary 8, 2026
Certification dateJanuary 8, 2026
Mailing address111 Alice Ln, Mount Pocono, PA 18344-7100