Organization Active NPI

Performance Driven Case Management, LLC

  • Case Management Agency
  • Valrico, FL
National Provider Identifier
1043015241
Registry record updated Feb 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
PERFORMANCE DRIVEN CASE MANAGEMENT, LLC
Practice address
811 Walsingham Way
Valrico, FL 33594-4014
Phone
(813) 480-9762
Fax
(855) 753-0076
NPI assigned
Feb 13, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Tracey Yvette Canty, RNNPI 1184436222
Title
Owner/ Ceo
Phone
(866) 531-2411

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

811 Walsingham Way
Valrico, FL 33594-4014

Mailing address

811 Walsingham Way
Valrico, FL 33594-4014
Phone (866) 531-2411

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1739404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739404800000",
    "number": "1043015241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 WALSINGHAM WAY",
            "city": "VALRICO",
            "state": "FL",
            "postal_code": "335944014",
            "telephone_number": "866-531-2411",
            "fax_number": "855-753-0076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 WALSINGHAM WAY",
            "city": "VALRICO",
            "state": "FL",
            "postal_code": "335944014",
            "telephone_number": "813-480-9762",
            "fax_number": "855-753-0076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFORMANCE DRIVEN CASE MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-13",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-13",
        "status": "A",
        "authorized_official_last_name": "CANTY",
        "authorized_official_first_name": "TRACEY",
        "authorized_official_middle_name": "YVETTE",
        "authorized_official_title_or_position": "OWNER/ CEO",
        "authorized_official_telephone_number": "866-531-2411",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valrico, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.