NPIMap

Organization Active NPI

Project Health Inc.

Doing business as Langley Health Service

  • Federally Qualified Health Center (FQHC)
  • Crystal River, FL
National Provider Identifier
1265935191
Registry record updated Dec 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
License
HCC43 Issued in FL
Legal business name
PROJECT HEALTH INC.
Doing business as
Langley Health Service
Practice address
547 SE Fort Island TRL Ste C
Crystal River, FL 34429-8905
Phone
(352) 794-7391
Fax
(352) 793-6269
NPI assigned
Mar 16, 2018
Last updated
Dec 14, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2020

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

Authorized official

Name
Thomas Chase
Title
Ceo
Phone
(352) 793-5900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X HCC43 FL Primary

Addresses

Primary practice location

547 SE Fort Island TRL Ste C
Crystal River, FL 34429-8905

Mailing address

1425 S US 301
Sumterville, FL 33585-5141
Phone (352) 793-5900

Other identifiers 1

IdentifierTypeStateIssuer
029547729MedicaidFL

Other names 1

  • Langley Health Service Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040601001397 FL Part B Supplier - Clinic/Group Practice 0446153399 Receives reassigned benefits from 69 practitioners
10 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Sumterville, FL; Ocala, FL; Lecanto, FL; Inverness, FL; Crystal River, FL; Homosassa, FL

Other NPIs on the same Medicare enrollment 10

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Pablo Garcia MD12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1521158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607904000000",
    "number": "1265935191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 S US 301",
            "city": "SUMTERVILLE",
            "state": "FL",
            "postal_code": "335855141",
            "telephone_number": "352-793-5900",
            "fax_number": "352-793-6269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "547 SE FORT ISLAND TRL STE C",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "344298905",
            "telephone_number": "352-794-7391",
            "fax_number": "352-793-6269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROJECT HEALTH INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-16",
        "last_updated": "2020-12-14",
        "certification_date": "2020-12-14",
        "status": "A",
        "authorized_official_last_name": "CHASE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "352-793-5900"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "FL",
            "license": "HCC43",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "029547729",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Langley Health Service",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Langley Health Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Crystal River, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.