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LONGEVITY CLINICAL LTC ASSOCIATES OF COLORADO PLLC
NPI 1972269793
Family Medicine - Geriatric Medicine in Lakewood, CO

Active since November 16, 2021
12136 W BAYAUD AVE, LAKEWOOD, CO 80228(303) 238-3838 Get Directions Write a Review

NPPES record last updated: November 16, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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

NPI1972269793
Entity TypeOrganization
Primary Taxonomy207QG0300X
Legal Business NameLONGEVITY CLINICAL LTC ASSOCIATES OF COLORADO PLLC
Location Address12136 W BAYAUD AVELakewood, CO 80228-2115
Mailing Address11770 Us Highway 1 Ste 102ePalm Beach Gardens, FL 33408-3052 · (813) 399-2607
Phone(303) 238-3838
Organization SubpartNo
Authorized OfficialDiane VincurClinical Support Talent Specialist · (561) 815-2427
Enumeration DateNovember 16, 2021
NPPES CertifiedNovember 16, 2021
✔ NPI 1972269793 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ 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 ListedFamily MedicineTaxonomy 207Q00000X
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X
12136 W BAYAUD AVE, Lakewood, CO 80228
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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

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

AIRO2
Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)
12136 W BAYAUD AVE, SUITE #200
LAKEWOOD, CO 80228
Jefferson County (303) 238-3838

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.

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 with the weekly NPPES data releases published by CMS.