LONGEVITY CLINICAL LTC ASSOCIATES OF OHIO, INC.
NPI 1114609815
Nurse Practitioner - Gerontology in Parma, OH
About Longevity Clinical Ltc Associates Of Ohio, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LONGEVITY CLINICAL LTC ASSOCIATES OF OHIO, INC. (NPI 1114609815) is a healthcare organization registered as a gerontology in Parma, Ohio and active in the NPI registry since August 2023. The organization lists Diane L Vincur, Practice Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 4
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Longevity Clinical Ltc Associates Of Ohio, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
14Medicare enrollment records show 14 clinicians reassign Medicare billing to Longevity Clinical Ltc Associates Of Ohio, Inc., which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (14)
Sumter, SC 29152
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Longevity Clinical Ltc Associates Of Ohio, Inc.'s NPI number?
The NPI number for Longevity Clinical Ltc Associates Of Ohio, Inc. is 1114609815. It was assigned to this organization in the NPPES registry on August 2, 2023.
Where is Longevity Clinical Ltc Associates Of Ohio, Inc. located?
Longevity Clinical Ltc Associates Of Ohio, Inc. is located at 12380 Plaza Dr, Parma, OH 44130. The listed phone number is (216) 898-8399.
What is Longevity Clinical Ltc Associates Of Ohio, Inc.'s specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.
Is Longevity Clinical Ltc Associates Of Ohio, Inc. enrolled in Medicare?
Yes. Longevity Clinical Ltc Associates Of Ohio, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Longevity Clinical Ltc Associates Of Ohio, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 14 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Longevity Clinical Ltc Associates Of Ohio, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Longevity Clinical Ltc Associates Of Ohio, Inc. was last updated on August 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Longevity Clinical Ltc Associates Of Ohio, Inc. · NPI 1114609815
Gerontology organization in Parma, Ohio. Organization record, active in the CMS NPPES registry since August 2, 2023.
## Identity
- **NPI:** 1114609815 (Entity type: Organization)
- **Enumerated:** August 2, 2023
- **Primary specialty:** Nurse Practitioner - Gerontology · taxonomy 363LG0600X
- **Organization subpart:** No
- **Authorized official:** Diane Vincur, PRACTICE MANAGER
## Practice location
- **Address:** 12380 PLAZA DR, Parma, OH 44130-1043
- **Phone:** (216) 898-8399
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 14 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R); 3 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 2, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1114609815) · Data from the CMS NPPES public registry.