OrganizationActive
Lasting Impression Care, Inc.
NPI 1063679397 · Developmentally Disabled Services Day Training Agency · Jacksonville, FL
Provider details
- NPI number
- 1063679397
- Entity type
- Organization
- Primary specialty
- Developmentally Disabled Services Day Training AgencyAgencies
- Organization subpart
- No
- Authorized official
- Donna Scott, Program Director(904) 703-5652
Specialties & taxonomies
Agencies
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
6010 Duclay Rd
Suite 7
Jacksonville, FL 32244-8600
Phone: (904) 703-5652
Street-level locationGet directions
Mailing address
6010 Duclay Rd
Jacksonville, FL 32244-8600
Registry dates
- Enumerated
- 2008-05-22
- Last updated
- 2008-05-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.