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

Longevity Clinical Ltc Associates of Ohio, Inc

Organization Family Medicine Physician · NPI 1114609815

Longevity Clinical Ltc Associates of Ohio, Inc is a Family Medicine Physician in Parma, Ohio. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
4
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

12380 Plaza Dr
Parma, OH 44130-1043
Phone: (216) 898-8399
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X
Family Medicine Physician Taxonomy 207Q00000X
Geriatric Medicine (Family Medicine) Physician Taxonomy 207QG0300X
Primary Care Nurse Practitioner Taxonomy 363LP2300X

Record details

NPI number1114609815
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Diane Vincur — Practice Manager · (561) 815-2427
NPI enumeratedAugust 2, 2023
Last updated in NPPESAugust 2, 2023
Certification dateAugust 2, 2023
Mailing address11780 Us Highway 1 Ste N107, North Palm Beach, FL 33408-3007

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