OrganizationActive
Health Logistic Services, LLC
NPI 1669114591 · Developmentally Disabled Services Day Training Agency · Lakeland, FL
Provider details
- NPI number
- 1669114591
- Entity type
- Organization
- Primary specialty
- Developmentally Disabled Services Day Training AgencyAgencies
- Organization subpart
- No
- Authorized official
- Carmen Ferguson, Owner(863) 513-2847
Specialties & taxonomies
Agencies
- Home Health Agency251E00000X
Agencies
- In Home Supportive Care Agency253Z00000X
Agencies
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
2154 Monticello Ave
Lakeland, FL 33801-6040
Phone: (863) 513-2847
Street-level locationGet directions
Mailing address
2154 Monticello Ave
Lakeland, FL 33801-6040
Registry dates
- Enumerated
- 2022-04-11
- Last updated
- 2022-04-11
- Certified
- 2022-04-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.