Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Longevity Accountable Care, PA

Organization Geriatric Medicine (Family Medicine) Physician · NPI 1396584447

Longevity Accountable Care, PA is a Geriatric Medicine (Family Medicine) Physician in Dearborn Heights, Michigan. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
3
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

26505 Powers Ave
Dearborn Heights, MI 48125-1327
Phone: (313) 291-6200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Geriatric Medicine (Family Medicine) Physician (primary) Taxonomy 207QG0300X
Gerontology Nurse Practitioner Taxonomy 363LG0600X
Primary Care Nurse Practitioner Taxonomy 363LP2300X

Record details

NPI number1396584447
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationLongevity Accountable Care, PA
Authorized official Diane Vincur — Practice Manager · (561) 815-2427
NPI enumeratedMay 20, 2024
Last updated in NPPESMay 20, 2024
Certification dateMay 20, 2024
Mailing address11780 Us Highway 1 Ste N107, Palm Beach Gardens, FL 33408-3007