Pioneer Club LLC

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

PIONEER CLUB LLC

Practice address

224 Washington Ave Ste 2
Homestead, FL 33030-6061

Phone

(305) 744-2721

NPI assigned

Jul 31, 2024

Organization subpart

No

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

Authorized official

Name

Joey PerezNPI 1538539887

Title

Owner

Phone

(305) 744-2721

Specialties & licenses 1

Addresses

Other names 1

• Pioneer Club LLC Former legal business name

Practitioners 1

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

• Joey Perez

  • Social Worker
  • Homestead, FL
  • NPI 1538539887
  NPD Authorized official

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

{
    "created_epoch": "1722384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722384000000",
    "number": "1932938552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 WASHINGTON AVE STE 2",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330306061",
            "telephone_number": "305-744-2721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 WASHINGTON AVE STE 2",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330306061",
            "telephone_number": "305-744-2721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIONEER CLUB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-31",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "JOEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-744-2721"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pioneer Club LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Milene Pinero la Rosa
• Ileana Pino Reina
• Maydel Pino Vazquez, MS SLP
• Jorge L Pino
• Merlin Pinto
• Ciognay Pire
• Rachel Helena Pitts, LMT,RCA
• Yirka Pixa Ramirez, APRN
• Ammy Placeres
• Lidieski Plasencia Nordelo

• Developmentally Disabled Services Day Training Agency in Homestead, FL
• Providers in Homestead, FL by specialty
• Developmentally Disabled Services Day Training Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2024; 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.