LONGEVITY CLINICAL LTC ASSOCIATES OF CONNECTICUT, PLLC
NPI 1245057058
Nurse Practitioner - Gerontology in Hartford, CT

Q: What is Longevity Clinical Ltc Associates Of Connecticut, PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Active since September 23, 2024

20 CHURCH ST, HARTFORD, CT 06103(561) 815-2427 Get Directions Write a Review

NPPES record last updated: September 23, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Longevity Clinical Ltc Associates Of Connecticut, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LONGEVITY CLINICAL LTC ASSOCIATES OF CONNECTICUT, PLLC (NPI 1245057058) is a healthcare organization registered as a gerontology in Hartford, Connecticut and active in the NPI registry since September 2024. The organization lists Diane Vincur, Manager, as its authorized official.

NPPES Registry Identity

NPI1245057058

Entity TypeOrganization

Primary Taxonomy363LG0600X

Legal Business NameLONGEVITY CLINICAL LTC ASSOCIATES OF CONNECTICUT, PLLC

Location Address20 CHURCH STHartford, CT 06103-1246

Mailing Address11780 Us Highway 1 Ste N107North Palm Beach, FL 33408-3007 · (561) 815-2427

Phone(561) 815-2427

Organization SubpartNo

Authorized OfficialDiane VincurManager · (561) 815-2427

Enumeration DateSeptember 23, 2024

NPPES CertifiedSeptember 23, 2024

✔ NPI 1245057058 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LG0600X

Also ListedFamily MedicineTaxonomy 207Q00000X

Also ListedFamily Medicine · Geriatric MedicineTaxonomy 207QG0300X

Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X

20 CHURCH ST, Hartford, CT 06103

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GENTIVA

Case Management

20 CHURCH ST, SUITE 11
HARTFORD, CT 06103

Capitol Planning Region (860) 528-4038

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 Connecticut, PLLC's NPI number?

The NPI number for Longevity Clinical Ltc Associates Of Connecticut, PLLC is 1245057058. It was assigned to this organization in the NPPES registry on September 23, 2024.

Where is Longevity Clinical Ltc Associates Of Connecticut, PLLC located?

Longevity Clinical Ltc Associates Of Connecticut, PLLC is located at 20 Church St, Hartford, CT 06103. The listed phone number is (561) 815-2427.

What is Longevity Clinical Ltc Associates Of Connecticut, PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

When was this NPI record last updated?

The NPPES record for Longevity Clinical Ltc Associates Of Connecticut, PLLC was last updated on September 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.