LONGEVITY LONG TERM MEDICAL CARE OF PENNSYLVANIA PLLC
NPI 1720796196
Family Medicine - Geriatric Medicine in Harrisburg, PA

Active since November 14, 2022
2595 INTERSTATE DR STE 103, HARRISBURG, PA 17110(561) 815-2427 Get Directions Write a Review

NPPES record last updated: November 14, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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

NPI1720796196
Entity TypeOrganization
Primary Taxonomy207QG0300X
Legal Business NameLONGEVITY LONG TERM MEDICAL CARE OF PENNSYLVANIA PLLC
Location Address2595 INTERSTATE DR STE 103Harrisburg, PA 17110-9378
Mailing Address11770 Us Highway 1 Ste N107Palm Beach Gardens, FL 33408-3027 · (561) 815-2427
Organization SubpartNo
Authorized OfficialDiane VincurPractice Manager · (561) 815-2427
Enumeration DateNovember 14, 2022
NPPES CertifiedNovember 14, 2022
NPI 1720796196 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
2595 INTERSTATE DR STE 103, Harrisburg, PA 17110

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 20

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

Clinical Nurse Specialist (Gerontology)
2595 INTERSTATE DR STE 103
HARRISBURG, PA 17110
Podiatrist
2595 INTERSTATE DR STE 103
HARRISBURG, PA 17110
Psychologist (Clinical)
2595 INTERSTATE DR STE 103
HARRISBURG, PA 17110
Social Worker (Clinical)
2595 INTERSTATE DR STE 103
HARRISBURG, PA 17110
Radiology (Diagnostic Radiology)
2595 INTERSTATE DR STE 103
HARRISBURG, PA 17110
Psychologist
2595 INTERSTATE DR STE 103
HARRISBURG, PA 17110
Social Worker (Clinical)
2595 INTERSTATE DR STE 103
HARRISBURG, PA 17110
Podiatrist
2595 INTERSTATE DR STE 103
HARRISBURG, PA 17110

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.

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.