Longevity Accountable Care, PA
NPI 1396584447 · Geriatric Medicine (Family Medicine) Physician · Dearborn Heights, MI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Longevity Accountable Care, PA is a Geriatric Medicine (Family Medicine) Physician organization in Dearborn Heights, MI (NPI 1396584447).
Provider details
- NPI number
- 1396584447
- Entity type
- Organization
- Primary specialty
- Geriatric Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Longevity Accountable Care, PA
- Organization subpart
- Yes
- Authorized official
- Diane Vincur, Practice Manager(561) 815-2427
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Gerontology Nurse Practitioner363LG0600X
Physician Assistants & Advanced Practice Nursing Providers
- Primary Care Nurse Practitioner363LP2300X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2024-05-20
- Last updated
- 2024-05-20
- Certified
- 2024-05-20
Frequently asked questions
- What is Longevity Accountable Care, PA's NPI number?
- Longevity Accountable Care, PA's National Provider Identifier (NPI) is 1396584447, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Longevity Accountable Care, PA?
- Longevity Accountable Care, PA is classified in the NPPES registry as Geriatric Medicine (Family Medicine) Physician (Allopathic & Osteopathic Physicians).
- Where is Longevity Accountable Care, PA located?
- Longevity Accountable Care, PA's practice location on file with NPPES is 26505 Powers Ave, Dearborn Heights, MI 48125-1327.
- What is Longevity Accountable Care, PA's phone number?
- The practice phone number listed in the NPPES registry for Longevity Accountable Care, PA is (313) 291-6200.
- Does Longevity Accountable Care, PA accept Medicare?
- Longevity Accountable Care, PA is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Longevity Accountable Care, PA?
- The authorized official listed on Longevity Accountable Care, PA's NPPES record is Diane Vincur, Practice Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Longevity Accountable Care, PA's NPI active?
- Yes — Longevity Accountable Care, PA's NPI (1396584447) is active in the NPPES registry as of the last update on 2024-05-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.