Organization Active NPI

Project Independence at Home

  • Case Management Agency
  • Miami, FL
National Provider Identifier
1720344922
Registry record updated Apr 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
PROJECT INDEPENDENCE AT HOME
Practice address
7415 Corporate Center Dr
Building 6 Bay H
Miami, FL 33126-1204
Phone
(305) 758-0021
Fax
(305) 758-7406
NPI assigned
Apr 2, 2012
Organization subpart
Yes
Parent organization
FLORIDA PACE CENTERSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 2, 2012

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

Authorized official

Name
Cliff Bauer
Title
Executive Director
Phone
(305) 762-1380

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

7415 Corporate Center Dr
Building 6 Bay H
Miami, FL 33126-1204

Mailing address

7415 Corporate Center Dr
Building 6 Bay H
Miami, FL 33126-1204
Phone (305) 758-0021

Other identifiers 2

IdentifierTypeStateIssuer
015032101MedicaidFL
015032110MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Florida Pace Centers Inc2 organizations share this tax ID, including this one
Part of
Florida Pace Centers Inc

Other organizations with this tax ID 1

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1333324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333324800000",
    "number": "1720344922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7415 CORPORATE CENTER DR",
            "address_2": "BUILDING 6 BAY H",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331261204",
            "telephone_number": "305-758-0021",
            "fax_number": "305-758-7406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7415 CORPORATE CENTER DR",
            "address_2": "BUILDING 6 BAY H",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331261204",
            "telephone_number": "305-758-0021",
            "fax_number": "305-758-7406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROJECT INDEPENDENCE AT HOME",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FLORIDA PACE CENTERS",
        "enumeration_date": "2012-04-02",
        "last_updated": "2012-04-02",
        "status": "A",
        "authorized_official_last_name": "BAUER",
        "authorized_official_first_name": "CLIFF",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "305-762-1380"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "015032101",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "015032110",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2012; 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.