LONGEVITY LONG TERM MEDICAL CARE OF PENNSYLVANIA PLLC
NPI 1720796196
Family Medicine - Geriatric Medicine in Harrisburg, PA
About Longevity Long Term Medical Care Of Pennsylvania Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LONGEVITY LONG TERM MEDICAL CARE OF PENNSYLVANIA PLLC (NPI 1720796196) is a healthcare organization registered as a geriatric medicine in Harrisburg, Pennsylvania and active in the NPI registry since November 2022. The organization lists Diane Vincur, Practice Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
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 Long Term Medical Care Of Pennsylvania Pllc 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 Long Term Medical Care Of Pennsylvania PLLC, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (14)
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 Long Term Medical Care Of Pennsylvania PLLC's NPI number?
The NPI number for Longevity Long Term Medical Care Of Pennsylvania PLLC is 1720796196. It was assigned to this organization in the NPPES registry on November 14, 2022.
Where is Longevity Long Term Medical Care Of Pennsylvania PLLC located?
Longevity Long Term Medical Care Of Pennsylvania PLLC is located at 2595 Interstate Dr Ste 103, Harrisburg, PA 17110. The listed phone number is (561) 815-2427.
What is Longevity Long Term Medical Care Of Pennsylvania PLLC's specialty?
The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.
Is Longevity Long Term Medical Care Of Pennsylvania PLLC enrolled in Medicare?
Yes. Longevity Long Term Medical Care Of Pennsylvania PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Longevity Long Term Medical Care Of Pennsylvania PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 14 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Longevity Long Term Medical Care Of Pennsylvania 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 Long Term Medical Care Of Pennsylvania PLLC was last updated on November 14, 2022. 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 Long Term Medical Care Of Pennsylvania Pllc · NPI 1720796196
Geriatric Medicine organization in Harrisburg, Pennsylvania. Organization record, active in the CMS NPPES registry since November 14, 2022.
## Identity
- **NPI:** 1720796196 (Entity type: Organization)
- **Enumerated:** November 14, 2022
- **Primary specialty:** Family Medicine - Geriatric Medicine · taxonomy 207QG0300X
- **Organization subpart:** No
- **Authorized official:** Diane Vincur, PRACTICE MANAGER
## Practice location
- **Address:** 2595 INTERSTATE DR STE 103, Harrisburg, PA 17110-9378
- **Phone:** (561) 815-2427
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 14 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 14, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1720796196) · Data from the CMS NPPES public registry.