OrganizationActive
Easterseals Northeast Central Florida, Inc.
NPI 1689448987 · Community/Behavioral Health Agency · Bunnell, FL
Provider details
- NPI number
- 1689448987
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Michele Wallens, Accounting Manager(386) 255-4568
Specialties & taxonomies
Agencies
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
3389 N State St Unit 1
Bunnell, FL 32110-4340
Phone: (386) 255-4568
Fax: (386) 258-7677
Approximate (ZIP-level) locationGet directions
Mailing address
1219 Dunn Ave
Daytona Beach, FL 32114-2405
Registry dates
- Enumerated
- 2023-11-08
- Last updated
- 2023-11-08
- Certified
- 2023-11-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.