Longevity Clinical Ltc Associates of Indiana, PC
NPI 1497581250ActiveOrganization· Family Medicine, Geriatric Medicine· Indianapolis, IN
Family Medicine, Geriatric Medicine in Indianapolis, Indiana, registered in NPPES in September 2024. The authorized official on file is Diane Vincur, Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1497581250 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 10, 2024 |
| Last updated in NPPES | Sep 10, 2024 |
| Certified by provider | Sep 10, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine, Geriatric Medicine Primary | 207QG0300X | — | — |
| Family Medicine | 207Q00000X | — | — |
| Nurse Practitioner, Gerontology | 363LG0600X | — | — |
| Nurse Practitioner, Primary Care | 363LP2300X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (IN) |
|---|
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