Provider Demographics
NPI:1043015241
Name:PERFORMANCE DRIVEN CASE MANAGEMENT, LLC
Entity type:Organization
Organization Name:PERFORMANCE DRIVEN CASE MANAGEMENT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:TRACEY
Authorized Official - Middle Name:YVETTE
Authorized Official - Last Name:CANTY
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:866-531-2411
Mailing Address - Street 1:811 WALSINGHAM WAY
Mailing Address - Street 2:
Mailing Address - City:VALRICO
Mailing Address - State:FL
Mailing Address - Zip Code:33594-4014
Mailing Address - Country:US
Mailing Address - Phone:866-531-2411
Mailing Address - Fax:855-753-0076
Practice Address - Street 1:811 WALSINGHAM WAY
Practice Address - Street 2:
Practice Address - City:VALRICO
Practice Address - State:FL
Practice Address - Zip Code:33594-4014
Practice Address - Country:US
Practice Address - Phone:813-480-9762
Practice Address - Fax:855-753-0076
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-13
Last Update Date:2025-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management