# LIFE LONG CARE HEALTH SYSTEM LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** LIFE LONG CARE HEALTH SYSTEM LLC
- **Other names:** Life Long Care at Home Health, Life Long Care Hospice & Palliative Care
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1912618596
- **Legal business name:** LIFE LONG CARE HEALTH SYSTEM LLC
- **Authorized official:** MR. VAUGHN BEASLEY (CEO)
- **Authorized official phone:** (602) 318-7812

## Contact information

- **Practice address:** 8433 N BLACK CANYON HWY \# 100-5, PHOENIX, AZ 85021-4873
- **Practice address phone:** (602) 318-7812
- **Mailing address:** 8433 N BLACK CANYON HWY \# 100-5, PHOENIX, AZ 85021-4873
- **Mailing address phone:** (602) 318-7812

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 251G00000X | Community Based Hospice Care Agency | — | NULL | — |

## Other

- **Enumeration date:** 12/05/2022
- **Last updated:** 07/22/2023