LONGEVITY ACCOUNTABLE CARE, PA
NPI 1396584447
Family Medicine - Geriatric Medicine in Dearborn Heights, MI

Active since May 20, 2024
26505 POWERS AVE, DEARBORN HEIGHTS, MI 48125(313) 291-6200 Get Directions Write a Review

NPPES record last updated: May 20, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Longevity Accountable Care, Pa NPPES

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

LONGEVITY ACCOUNTABLE CARE, PA (NPI 1396584447) is a healthcare organization registered as a geriatric medicine in Dearborn Heights, Michigan and active in the NPI registry since May 2024. The organization lists Diane Vincur, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1396584447
Entity TypeOrganization
Primary Taxonomy207QG0300X
Legal Business NameLONGEVITY ACCOUNTABLE CARE, PA
Location Address26505 POWERS AVEDearborn Heights, MI 48125-1327
Mailing Address11780 Us Highway 1 Ste N107Palm Beach Gardens, FL 33408-3007 · (561) 815-2427
Organization SubpartYes
Authorized OfficialDiane VincurPractice Manager · (561) 815-2427
Enumeration DateMay 20, 2024
NPPES CertifiedMay 20, 2024
✔ NPI 1396584447 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QG0300X
Definition
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X
26505 POWERS AVE, Dearborn Heights, MI 48125

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

Accepted Insurance

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 Accountable Care, Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

15

Medicare enrollment records show 15 clinicians reassign Medicare billing to Longevity Accountable Care, PA, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians by Medicare Specialty 2

Nurse Practitioner14
Hospitalist1

Clinicians, nearest first (15)

Nurse Practitioner
NPI 1477186104
11402 JOSEPH CAMPAU ST
Hamtramck, MI 48212
(313) 366-4000
✔ PECOS15 mi
Nurse Practitioner
NPI 1346715117
32605 W 12 MILE RD STE 195
Farmington Hills, MI 48334
(313) 306-2023
✔ PECOS✔ Accepts Medicare16 mi
Nurse Practitioner
NPI 1295426450
41800 W 11 MILE RD
Novi, MI 48375
(833) 578-2763
✔ PECOS17 mi
Nurse Practitioner
NPI 1104288026
41100 FOX RUN
Novi, MI 48377
(248) 668-8650
✔ PECOS18 mi
Nurse Practitioner
NPI 1972036382
47601 GRAND RIVER AVE
Novi, MI 48374
(248) 465-4100
✔ PECOS19 mi
Nurse Practitioner
NPI 1790270213
8444 ENGLEMAN
Center Line, MI 48015
(586) 441-1256
✔ PECOS20 mi
Nurse Practitioner
NPI 1851027320
1979 SOMERSET BLVD APT 213
Troy, MI 48084
(248) 469-6537
✔ PECOS21 mi
Nurse Practitioner
NPI 1164921839
26328 FAIRFIELD AVE
Warren, MI 48089
(313) 693-8199
✔ PECOS✔ Accepts Medicare22 mi
Nurse Practitioner
NPI 1639656721
28001 HARPER AVE
Saint Clair Shores, MI 48081
(586) 772-7180
✔ PECOS26 mi
Nurse Practitioner
NPI 1689070633
3310 W COMMERCE RD
Milford, MI 48380
(313) 720-7895
✔ PECOS29 mi
Nurse Practitioner
NPI 1376920819
46591 ROMEO PLANK RD STE 133
Macomb, MI 48044
(586) 333-5336
✔ PECOS31 mi
Nurse Practitioner
NPI 1790264075
215 NORTH AVE
Mount Clemens, MI 48043
(586) 731-8400
✔ PECOS31 mi
Nurse Practitioner
NPI 1609301829
113 N LAKE ST
Manistique, MI 49854
(906) 450-1700
✔ PECOS✔ Accepts Medicare294 mi
Nurse Practitioner
NPI 1609625037
874 GALEN DR
State College, PA 16803
(989) 202-5455
✔ PECOS296 mi
Hospitalist
NPI 1306080510
9101 PINEVILLE MATTHEWS RD STE R
Pineville, NC 28134
(910) 642-1776
✔ PECOS513 mi

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 Accountable Care, PA's NPI number?

The NPI number for Longevity Accountable Care, PA is 1396584447. It was assigned to this organization in the NPPES registry on May 20, 2024.

Where is Longevity Accountable Care, PA located?

Longevity Accountable Care, PA is located at 26505 Powers Ave, Dearborn Heights, MI 48125. The listed phone number is (313) 291-6200.

What is Longevity Accountable Care, PA's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

Is Longevity Accountable Care, PA enrolled in Medicare?

Yes. Longevity Accountable Care, PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Longevity Accountable Care, PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 15 clinicians in 2 Medicare specialties reassign their Medicare billing to Longevity Accountable Care, PA. 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. The largest specialties are Nurse Practitioner (14) and Hospitalist (1). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Longevity Accountable Care, PA accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company list Longevity Accountable Care, PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Longevity Accountable Care, PA was last updated on May 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.