Organization Active NPI

Pieces of a Dream, Inc

  • Community Based Hospice Care Agency
  • Vero Beach, FL
National Provider Identifier
1346342037
Registry record updated May 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
PIECES OF A DREAM, INC
Practice address
1923 Grey Falcon Circle SW
Vero Beach, FL 32962-2612
Phone
(772) 532-6289
Fax
(772) 675-1881
NPI assigned
Sep 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2009

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

Authorized official

Name
Mrs. Tracey McKinneyNPI 1255629093
Title
President
Phone
(772) 532-6289

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
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

1923 Grey Falcon Circle SW
Vero Beach, FL 32962-2612

Mailing address

1923 Grey Falcon Cir SW
Vero Beach, FL 32962-8609
Phone (772) 532-6289

Other identifiers 2

IdentifierTypeStateIssuer
687088198MedicaidFL
687088196MedicaidFL

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": "1157155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242691200000",
    "number": "1346342037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1923 GREY FALCON CIR SW",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329628609",
            "telephone_number": "772-532-6289",
            "fax_number": "772-562-3018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1923 GREY FALCON CIRCLE SW",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329622612",
            "telephone_number": "772-532-6289",
            "fax_number": "772-675-1881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIECES OF A DREAM, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-02",
        "last_updated": "2009-05-19",
        "status": "A",
        "authorized_official_last_name": "MCKINNEY",
        "authorized_official_first_name": "TRACEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "772-532-6289",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "687088198",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "687088196",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2009; 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.