NPIMap

Organization Active NPI

Project Health Inc

Doing business as Langley Health Services

  • Federally Qualified Health Center (FQHC)
  • Inverness, FL
National Provider Identifier
1427545375
Registry record updated Dec 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
License
HCC9937 Issued in FL
Legal business name
PROJECT HEALTH INC
Doing business as
Langley Health Services
Practice address
300 S Line Ave
Inverness, FL 34452-4606
Phone
(352) 419-5760
Fax
(888) 518-2037
NPI assigned
Apr 17, 2018
Last updated
Dec 11, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2023

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

Authorized official

Name
Mary E Lighty
Title
Credentialing Specialist
Phone
(352) 569-2964

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X HCC9937 FL Primary

Addresses

Primary practice location

300 S Line Ave
Inverness, FL 34452-4606

Mailing address

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

Other identifiers 3

IdentifierTypeStateIssuer
K2260OtherFLMEDICARE FIRST COAST PART B
681140OtherFLMEDICARE FIRST COAST PART A
029547723MedicaidFL

Other names 1

  • Langley Health Services Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

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
O20190326002697 FL Part A Provider - Federally Qualified Health Center (FQHC) 0446153399 Practice locations: Inverness, FL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1427545375. Details of each certification follow.

Federally qualified health center certification: CCN 681140

Legal name
PROJECT HEALTH INC
Doing business as
LANGLEY HEALTH SERVICES
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Mar 26, 2019
Last certification
Mar 26, 2019
Ownership / control type
For profit – partnership
Organization structure
CorporationNon-profit
Incorporated
Dec 12, 1974 in FL
Enrollment address
300 S Line Ave
Inverness, FL 34452-4606

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 10

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

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2115094Project Health Inc300 S Line Ave, Inverness, FL 34452Certificate of waiverJun 27, 2028

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Project Health Inc Organization, Inverness, FL Non-profit 5% Or Greater Direct Ownership Interest Dec 12, 1974 100%
Kyli Holmes Individual W-2 Managing EmployeeCredentialing Specialist Mar 19, 2018
Mary Lighty Individual Corporate OfficerAuthorized Official Nov 20, 2020
W-2 Managing EmployeeAuthorized Official Nov 20, 2020
Operational/Managerial ControlAuthorized Official Nov 20, 2020
Vicki Banores Individual W-2 Managing EmployeeBilling Manager Mar 19, 2018
Operational/Managerial ControlBilling Manager Mar 19, 2018

Owners & managing parties with NPI records 6

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

  • Project Health Inc

    dba Langley Health Services

    • Federally Qualified Health Center (FQHC)
    • Sumterville, FL
    • NPI 1437180239

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Project Health Inc

    dba Langley Health Services

    • Federally Qualified Health Center (FQHC)
    • Lecanto, FL
    • NPI 1669012498

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Project Health Inc

    dba Langley Health Services

    • Physiological Laboratory
    • Sumterville, FL
    • NPI 1750503322

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Project Health Inc

    dba Langley Health Services

    • Federally Qualified Health Center (FQHC)
    • Ocala, FL
    • NPI 1942487186

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Project Health Inc

    dba Langley Health Services - Homosassa

    • Federally Qualified Health Center (FQHC)
    • Homosassa, FL
    • NPI 1972767481

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Project Health Inc

    dba Langley Health Services

    • Federally Qualified Health Center (FQHC)
    • Inverness, FL
    • NPI 1972959302

    5% Or Greater Direct Ownership Interest

    CMS ownership

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Project Health IncHomosassa, FL, CCN 101907 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Dec 12, 1974

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • Project Health Inc

    dba Langley Health Services - Homosassa

    • Federally Qualified Health Center (FQHC)
    • Homosassa, FL
    • NPI 1972767481

    5% Or Greater Direct Ownership Interest

    CMS ownership

Facilities with the same owner 1

Facilities that share an organizational owner with 5% or greater ownership or operational control.

  • Project Health Inc

    dba Langley Health Services - Homosassa

    • Federally Qualified Health Center (FQHC)
    • Homosassa, FL
    • NPI 1972767481

    Project Health Inc

    CMS ownership

Practitioners & affiliated clinicians

Practitioners 11

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": "1523923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702252800000",
    "number": "1427545375",
    "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": "300 S LINE AVE",
            "city": "INVERNESS",
            "state": "FL",
            "postal_code": "344524606",
            "telephone_number": "352-419-5760",
            "fax_number": "888-518-2037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROJECT HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-17",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A",
        "authorized_official_last_name": "LIGHTY",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "352-569-2964"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "FL",
            "license": "HCC9937",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE FIRST COAST PART B",
            "identifier": "K2260",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE FIRST COAST PART A",
            "identifier": "681140",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "029547723",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Langley Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Inverness, FL

Sources for this page

Verify at the official NPI Registry.