NPIMap

Organization Active NPI

Project Health Inc

Doing business as Langley Health Services - Homosassa

  • Federally Qualified Health Center (FQHC)
  • Homosassa, FL
National Provider Identifier
1972767481
Registry record updated Feb 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
PROJECT HEALTH INC
Doing business as
Langley Health Services - Homosassa
Practice address
7945 S Suncoast Blvd Ste a-B
Homosassa, FL 34446-5005
Phone
(352) 423-4923
NPI assigned
Jul 14, 2008
Last updated
Feb 1, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2023

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

Authorized official

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

Specialties & licenses 1

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

Addresses

Primary practice location

7945 S Suncoast Blvd Ste a-B
Homosassa, FL 34446-5005

Mailing address

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

Other names 1

  • Langley Health Services - Homosassa 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
O20230406002758 FL Part A Provider - Federally Qualified Health Center (FQHC) 0446153399 Practice locations: Homosassa, FL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1972767481. Details of each certification follow.

Federally qualified health center certification: CCN 101907

Legal name
PROJECT HEALTH INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Dec 16, 2022
Last certification
Dec 16, 2022
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Dec 12, 1974 in FL
Enrollment address
7945 S Suncoast Blvd
Ste a-B
Homosassa, FL 34446-5005

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
10D2278667Project Health Inc7945 S Suncoast Blvd, Ste a-B, Homosassa, FL 34446Certificate of waiverMar 21, 2027

National Provider Directory

National Provider Directory

Locations

7945 S Suncoast Blvd
Ste Ab
Homosassa, FL 34446
Phone (352) 423-4923

Networks

  • Freedom Health HMO NetworkPlans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Máximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…
  • Optimum HealthCare HMO NetworkPlans: Optimum Diamond Rewards (HMO C-SNP) (H5594-028-000, H5594); Optimum Diamond (HMO C-SNP) (H5594-036-000, H5594); Optimum Diamond Rewards (HMO C-SNP) (H5594-034-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-029-000, H5594); Optimum Platinum Plan (HMO) (H5594-002-000, H5594); Optimum Gold Plus Plan (HMO) (H5594-032-000, H5594); Optimum Diamond Savings COPD (HMO C-SNP) (H5594-031-000, H5594); Optimum Diamond Savings (HMO C-SNP) (H5594-030-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-035-000, H5594)

Ownership & related parties

All disclosed owners & managing parties 18

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

NameRoleSinceShare
Jon Simpson Individual Corporate DirectorBoard Secretary Nov 15, 2012
Vicki Wynns Individual Corporate OfficerCoo Feb 6, 2012
Project Health Inc Organization, Homosassa, FL Non-profit 5% Or Greater Direct Ownership Interest Dec 12, 1974 100%
Wanda Francis Individual Corporate DirectorBoard Member Dec 15, 2016
Ivory Gray Individual Corporate DirectorBoard Member Jul 1, 2008
Deana Lindsay Individual Corporate DirectorBoard Member Nov 15, 2012
James Bodenner Individual Corporate DirectorBoard Member Aug 23, 2018
Robert Cooper Individual Corporate DirectorBoard Member Mar 27, 2020
Paula Knight Individual Corporate DirectorBoard Member Jun 23, 2011
Thomas G Chase Individual Corporate OfficerCeo Apr 22, 2013
John Sivon Individual Corporate OfficerChief Strategy Officer Jan 5, 2015
W-2 Managing EmployeeChief Strategy Officer Jan 5, 2015
Operational/Managerial ControlChief Strategy Officer Jan 5, 2015
Mary Lighty Individual Corporate OfficerCredentialing Manager Nov 20, 2020
W-2 Managing EmployeeCredentialing Manager Nov 20, 2020
Operational/Managerial ControlCredentialing Manager Nov 20, 2020
Kristy Lindke Individual Corporate DirectorBoard Member Aug 24, 2017
Jimmie Enderle Individual Corporate DirectorBoard Member Jul 1, 2008
Maria B Bello Individual Corporate DirectorBoard Member Feb 22, 2018
June E Tickle Individual Corporate DirectorBoard Member Aug 23, 2018
Sherry Olszanski Individual Corporate DirectorBoard Secretary Nov 15, 2012
Brooke Morris Individual Corporate DirectorBoard Member Sep 27, 2018

Owners & managing parties with NPI records 7

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

  • Maria B Bello, MD
    • Family Medicine Physician
    • Leesburg, FL
    • NPI 1821081563

    Corporate Director

    CMS ownership
  • Project Health Inc

    dba Langley Health Services

    • Federally Qualified Health Center (FQHC)
    • Inverness, FL
    • NPI 1427545375

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • 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

    • 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
Langley Health ServicesInverness, FL, CCN 681140 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

    • Federally Qualified Health Center (FQHC)
    • Inverness, FL
    • NPI 1427545375

    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.

Practitioners & affiliated clinicians

Practitioners 4

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": "1215993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675209600000",
    "number": "1972767481",
    "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": "352-793-8050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7945 S SUNCOAST BLVD STE A-B",
            "city": "HOMOSASSA",
            "state": "FL",
            "postal_code": "344465005",
            "telephone_number": "352-423-4923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROJECT HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-14",
        "last_updated": "2023-02-01",
        "certification_date": "2023-02-01",
        "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",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Langley Health Services - Homosassa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Homosassa, FL

Sources for this page

Verify at the official NPI Registry.