NPIMap

Organization Active NPI

Easter Seals Florida, Inc.

  • Case Management Agency
  • West Palm Beach, FL
National Provider Identifier
1073710109
Registry record updated Feb 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
EASTER SEALS FLORIDA, INC.
Practice address
213 S Congress Ave
West Palm Beach, FL 33409-3823
Phone
(561) 881-2822
Fax
(561) 881-0972
NPI assigned
Jul 2, 2007
Organization subpart
Yes
Parent organization
EASTER SEALS FLORIDA, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 14, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Rikesha Blake
Title
Cfo
Phone
(407) 629-7881

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary
Home Health Agency 251E00000X
Clinic/Center 261Q00000X
Multi-Specialty Clinic/Center 261QM1300X

Addresses

Primary practice location

213 S Congress Ave
West Palm Beach, FL 33409-3823

Mailing address

2010 Crosby Way
Winter Park, FL 32792-4119
Phone (407) 629-7881

Other identifiers 2

IdentifierTypeStateIssuer
892255100MedicaidFL
914570200MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Easterseals Florida Inc33 organizations share this tax ID, including this one
Part of
Easterseals Florida Inc

Other organizations with this tax ID 32

Organizations that report the same tax identification number in the National Provider Directory.

View all 32

Locations

1675 Palm Beach Lakes Blvd
Ste 200
West Palm Beach, FL 33401
Phone (561) 422-9508

Practitioners & affiliated clinicians

Practitioners 21

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 21

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1183334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644796800000",
    "number": "1073710109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 CROSBY WAY",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327924119",
            "telephone_number": "407-629-7881",
            "fax_number": "407-629-4754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 S CONGRESS AVE",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334093823",
            "telephone_number": "561-881-2822",
            "fax_number": "561-881-0972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTER SEALS FLORIDA, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EASTER SEALS FLORIDA, INC.",
        "enumeration_date": "2007-07-02",
        "last_updated": "2022-02-14",
        "certification_date": "2022-02-14",
        "status": "A",
        "authorized_official_last_name": "BLAKE",
        "authorized_official_first_name": "RIKESHA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "407-629-7881",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "892255100",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "914570200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.