LONGEVITY CLINICAL LTC ASSOCIATES OF COLORADO PLLC
NPI 1972269793
Family Medicine - Geriatric Medicine in Lakewood, CO
About Longevity Clinical Ltc Associates Of Colorado Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LONGEVITY CLINICAL LTC ASSOCIATES OF COLORADO PLLC (NPI 1972269793) is a healthcare organization registered as a geriatric medicine in Lakewood, Colorado and active in the NPI registry since November 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 Colorado Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
11Medicare enrollment records show 11 clinicians reassign Medicare billing to Longevity Clinical Ltc Associates Of Colorado PLLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (11)
West Columbia, SC 29169
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 Colorado PLLC's NPI number?
The NPI number for Longevity Clinical Ltc Associates Of Colorado PLLC is 1972269793. It was assigned to this organization in the NPPES registry on November 16, 2021.
Where is Longevity Clinical Ltc Associates Of Colorado PLLC located?
Longevity Clinical Ltc Associates Of Colorado PLLC is located at 12136 W Bayaud Ave, Lakewood, CO 80228. The listed phone number is (303) 238-3838.
What is Longevity Clinical Ltc Associates Of Colorado PLLC's specialty?
The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.
Is Longevity Clinical Ltc Associates Of Colorado PLLC enrolled in Medicare?
Yes. Longevity Clinical Ltc Associates Of Colorado PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Longevity Clinical Ltc Associates Of Colorado PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Longevity Clinical Ltc Associates Of Colorado 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. Of these, 2 practice within 10 miles. 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 Colorado PLLC was last updated on November 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 Colorado Pllc · NPI 1972269793
Geriatric Medicine organization in Lakewood, Colorado. Organization record, active in the CMS NPPES registry since November 16, 2021.
## Identity
- **NPI:** 1972269793 (Entity type: Organization)
- **Enumerated:** November 16, 2021
- **Primary specialty:** Family Medicine - Geriatric Medicine · taxonomy 207QG0300X
- **Organization subpart:** No
- **Authorized official:** Diane Vincur, CLINICAL SUPPORT TALENT SPECIALIST
## Practice location
- **Address:** 12136 W BAYAUD AVE, Lakewood, CO 80228-2115
- **Phone:** (303) 238-3838
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 11 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 16, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1972269793) · Data from the CMS NPPES public registry.