EASTERSEALS NORTHEAST CENTRAL FLORIDA, INC. (NPI# 1164030532) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1164030532 |
Entity Type | Organization |
Organization Name | EASTERSEALS NORTHEAST CENTRAL FLORIDA, INC. |
Practice Address |
1219 Dunn Ave Daytona Beach FL 32114-2405 |
Practice Telephone | 3869447805 |
Mailing Telephone | 3869447805 |
Enumeration Date | 2020-07-21 |
Last Update Date | 2020-07-21 |
Authorized Official Name | MICHELE WALLENS (ACCOUNTING MANAGER) |
Authorized Official Telephone | 3862554568 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251S00000X | Community/Behavioral Health | Agencies |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649668351 | Easterseals Northeast Central Florida, Inc. | Voluntary or Charitable | 1219 Dunn Ave, Daytona Beach, FL 32114 | 2015-01-05 |
1780099523 | Easterseals Northeast Central Florida, Inc. | Early Intervention Provider Agency | 1219 Dunn Ave, Daytona Beach, FL 32114 | 2014-06-30 |
1336202522 | Easterseals Northeast Central Florida, Inc. | Audiologist | 1219 Dunn Ave, Daytona Beach, FL 32114 | 2006-12-18 |
Street Address |
1219 DUNN AVE |
City | DAYTONA BEACH |
State | FL |
Zip Code | 32114-2405 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225050289 | Audrey Susan Tyler | Speech-Language Pathologist | 1219 Dunn Ave, Daytona Beach, FL 32114-2405 | 2006-07-25 |
1043838915 | Rebecca Roberts | Behavior Technician | 1219 Dunn Ave, Daytona Beach, FL 32114-2405 | 2020-07-08 |
1649897612 | Joy Rogers | Occupational Therapist | 1219 Dunn Ave, Daytona Beach, FL 32114-2405 | 2020-06-25 |
1447882139 | Jill Marie Baxter | Physical Therapy Assistant | 1219 Dunn Ave, Daytona Beach, FL 32114-2405 | 2020-02-10 |
1740822956 | Sharon Schwab | Occupational Therapy Assistant | 1219 Dunn Ave, Daytona Beach, FL 32114-2405 | 2019-10-09 |
1376104851 | Kimberly Jackson | Occupational Therapist | 1219 Dunn Ave, Daytona Beach, FL 32114-2405 | 2019-06-25 |
1619435146 | Onisha Johnson | Social Worker | 1219 Dunn Ave, Daytona Beach, FL 32114-2405 | 2019-03-04 |
1265905459 | Romina Henriquez | Social Worker | 1219 Dunn Ave, Daytona Beach, FL 32114-2405 | 2019-01-10 |
1174002463 | Crystal Rich | Social Worker | 1219 Dunn Ave, Daytona Beach, FL 32114-2405 | 2018-08-08 |
1477057032 | Laura Sawyer | Social Worker | 1219 Dunn Ave, Daytona Beach, FL 32114-2405 | 2018-03-20 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376161380 | Evolution Health & Performance LLC | Physician Assistant | 244 S. Palmetto Ave, Daytona Beach, FL 32114 | 2020-07-07 |
1407480189 | Kierra Imani Kinsey | Behavior Technician | 1128-a Beville Rd, Daytona Beach, FL 32114 | 2020-03-02 |
1043776057 | Outreach Community Care Network Inc | Pharmacy | 240 N. Frederick Avenue, Daytona Beach, FL 32114 | 2019-02-14 |
1033681861 | Katherine Proppe | Specialist/Technologist | 1 Aerospace Blvd, Daytona Beach, FL 32114 | 2018-12-18 |
1841765047 | Anna L Smith | Nurse Practitioner | 339 Bill France Blvd Ste C, Daytona Beach, FL 32114 | 2018-10-04 |
1154806933 | Steve Anthony Lee | Family Medicine | 731 N. Clyde Morris Blvd, Daytona Beach, FL 32114 | 2018-09-27 |
1285116491 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1348 W International Speedway Blvd Ste 2, Daytona Beach, FL 32114 | 2018-09-04 |
1770085656 | Merina Lee | Occupational Therapist | 1159 Australia Ave., Daytona Beach, FL 32114 | 2018-03-06 |
1346752755 | Hand & Upper Extremity Surgery of Daytona Beach, LLC | Non-Pharmacy Dispensing Site | 1241 Ridgewood Ave, Daytona Beach, FL 32114 | 2017-10-26 |
1104347053 | Harry Herman Blanke IIi | Family Medicine | 201 N Clyde Morris Blvd, Suite 200, Halifax Health Family Medicine Residency Program, Daytona Beach, FL 32114 | 2017-06-30 |
Find all providers in zip 32114 |
Taxonomy Code | 251S00000X |
Grouping | Agencies |
Classification | Community/Behavioral Health |
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144711334 | Pediatric Aba 9 Inc | Community/Behavioral Health | 200 S Beach St Ste 204, Daytona Beach, FL 32114-4404 | 2018-05-23 |
1467805465 | Ocean Road LLC | Community/Behavioral Health | 3520 W International Speedway Blvd, Daytona Beach, FL 32124-1026 | 2016-07-14 |
1750771622 | Embridge Counseling Services | Community/Behavioral Health | 140 S Beach St Ste 310, Daytona Beach, FL 32114-4409 | 2015-01-30 |
1245620327 | Majestic Behavioral Services | Community/Behavioral Health | 1057 Mason Ave, Daytona Beach, FL 32117-4611 | 2015-01-28 |
1942536941 | Therapeutic Foundations | Community/Behavioral Health | 1181 Dal Maso Dr, Daytona Beach, FL 32117-4109 | 2009-10-26 |
1861638827 | Strategies, Inc. Behavior Analysis & Therapeutic Services | Community/Behavioral Health | 1176 Pelican Bay Dr, Daytona Beach, FL 32119-1381 | 2008-12-22 |
1780754747 | Coaching Behavioral Alternatives Inc | Community/Behavioral Health | 615 Riverview Blvd, Daytona Beach, FL 32118-3840 | 2006-11-08 |
1750369666 | Sma Healthcare Inc | Community/Behavioral Health | 1150 Red John Road, Daytona Beach, FL 32124-1016 | 2006-01-03 |
1649662198 | Halifax Behavioral Services | Community/Behavioral Health | 841 Jimmy Ann Dr, Daytona Beach, FL 32117-4583 | 2015-02-20 |
1376974881 | The Helping Hand of Tomorrow Inc. | Community/Behavioral Health | 259 Bill France Blvd, Suite 200, Daytona Beach, FL 32114-1316 | 2013-12-09 |
Find all providers in DAYTONA BEACH |
City | DAYTONA BEACH |
Zip Code | 32114 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.