LONGEVITY CLINICAL LTC ASSOCIATES OF FLORIDA PLLC
NPI 1639743750
Nurse Practitioner - Primary Care in Lauderhill, FL
About Longevity Clinical Ltc Associates Of Florida Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LONGEVITY CLINICAL LTC ASSOCIATES OF FLORIDA PLLC (NPI 1639743750) is a healthcare organization registered as a primary care in Lauderhill, Florida and active in the NPI registry since May 2021. The organization lists Diane Vincur, Clinical Support Talent Specialist, 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 Florida Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
30Medicare enrollment records show 30 clinicians reassign Medicare billing to Longevity Clinical Ltc Associates Of Florida PLLC, which bills Medicare for the services they deliver. Listed here are the 20 practicing nearest to this location.
Nearest to this location (20)
See all 30Greenacres, FL 33463
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 Florida PLLC's NPI number?
The NPI number for Longevity Clinical Ltc Associates Of Florida PLLC is 1639743750. It was assigned to this organization in the NPPES registry on May 13, 2021.
Where is Longevity Clinical Ltc Associates Of Florida PLLC located?
Longevity Clinical Ltc Associates Of Florida PLLC is located at 4300 Rock Island Rd, Lauderhill, FL 33319. The listed phone number is (954) 485-6144.
What is Longevity Clinical Ltc Associates Of Florida PLLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is Longevity Clinical Ltc Associates Of Florida PLLC enrolled in Medicare?
Yes. Longevity Clinical Ltc Associates Of Florida PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Longevity Clinical Ltc Associates Of Florida PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 30 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Longevity Clinical Ltc Associates Of Florida PLLC. 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. 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 Florida PLLC was last updated on May 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 Florida Pllc · NPI 1639743750
Primary Care organization in Lauderhill, Florida. Organization record, active in the CMS NPPES registry since May 13, 2021.
## Identity
- **NPI:** 1639743750 (Entity type: Organization)
- **Enumerated:** May 13, 2021
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **Organization subpart:** No
- **Authorized official:** Diane Vincur, CLINICAL SUPPORT TALENT SPECIALIST
## Practice location
- **Address:** 4300 ROCK ISLAND RD, Lauderhill, FL 33319-4528
- **Phone:** (954) 485-6144
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 30 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R); [full list](https://npiprofile.com/npi/1639743750/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 14, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1639743750) · Data from the CMS NPPES public registry.