ECKERD YOUTH ALTERNATIVES INC (NPI# 1205905338) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205905338 |
| Entity Type | Organization |
| Organization Name | ECKERD YOUTH ALTERNATIVES INC |
| Practice Address |
35 Eckerd Way Stewartstown NH 03576 |
| Mailing Address |
100 N Starcrest Drive Clearwater FL 33758-7450 |
| Practice Telephone | 6032378755 |
| Practice Fax Number | 6032378856 |
| Mailing Telephone | 7274612990 |
| Mailing Fax Number | 7272160055 |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2008-01-07 |
| Authorized Official Name | MRS. SUSAN G CASPER (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 7274612990 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | Residential Treatment Facilities | ||
| Y | 323P00000X | Psychiatric Residential Treatment Facility | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | 30009194 | 05 | |
| NH | 30007096 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497316046 | Eckerd Youth Alternatives Inc | Case Management | 6501 Coliseum Blvd Ste 700a, Alexandria, LA 71303-3977 | 2019-06-25 |
| 1386710119 | Eckerd Youth Alternatives Inc | Psychiatric Residential Treatment Facility | 2100 Sunrise Blvd Ste D, Fort Pierce, FL 34950-5300 | 2006-11-24 |
| 1417026568 | Eckerd Youth Alternatives Inc | Psychiatric Residential Treatment Facility | 4970 Camp Rd, Suches, GA 30572-1844 | 2006-11-06 |
| 1982773024 | Eckerd Youth Alternatives Inc | Psychiatric Residential Treatment Facility | 397 Culbreath Rd, Brooksville, FL 34602-6019 | 2006-11-06 |
| 1114096278 | Eckerd Youth Alternatives Inc | Psychiatric Residential Treatment Facility | 876 Root Pond Rd, Benson, VT 05743-9596 | 2006-11-06 |
| 1336218429 | Eckerd Youth Alternatives Inc | Social Worker | 500 E Ku Sumee Dr, Candor, NC 27229-9058 | 2006-11-06 |
| 1376612416 | Eckerd Youth Alternatives Inc | Psychiatric Residential Treatment Facility | 1079 Sky Valley Rd, Hendersonville, NC 28739-9442 | 2006-11-06 |
| 1912076092 | Eckerd Youth Alternatives Inc | Psychiatric Residential Treatment Facility | 3112 Friendship Rd, Milton, FL 32570-9775 | 2006-11-06 |
| 1972672046 | Eckerd Youth Alternatives Inc | Psychiatric Residential Treatment Facility | 388 Nine Mile Road, Newport, NC 28570-9711 | 2006-11-06 |
| 1356410476 | Eckerd Youth Alternatives Inc | Psychiatric Residential Treatment Facility | 8500 Orange Avenue, Fort Pierce, FL 34945 | 2006-11-06 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Eckerd Youth Alternatives Inc. | 100 N Starcrest Dr, Clearwater, Florida 33765 |
| Street Address |
35 ECKERD WAY |
| City | STEWARTSTOWN |
| State | NH |
| Zip Code | 03576 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255845905 | Expressmed, LLC | Physician Assistant | 152 Colby Street, Colebrook, NH 03576 | 2017-11-16 |
| 1619225331 | Sheila J. Parkhurst | Mechanotherapist | 53 Trooper Leslie Lord Mem. Hwy., Colebrook, NH 03576 | 2012-08-28 |
| 1205972874 | John Carmelo Gramuglia | Counselor | 4 Titus Hill Rd, Colebrook, NH 03576 | 2007-01-30 |
| 1386673952 | Indian Stream Health Center, Inc | General Practice | 141 Corliss Lane, Colebrook, NH 03576 | 2006-07-03 |
| 1134178775 | Rebecca M Underwood | Physical Therapist | 118 Main St Ste 6, Colebrook, NH 03576 | 2006-05-10 |
| 1861489437 | Upper Connecticut Valley Hospital Association | General Acute Care Hospital | 181 Corliss Lane, Colebrook, NH 03576 | 2005-09-29 |
| 1992204168 | Donald Murray Dickson | Pharmacist | 91 Main St, Colebrook, NH 03576 | 2018-02-02 |
| 1083133870 | North Country Medical and Wellness, LLC | Clinic/Center | 152 Colby St, Colebrook, NH 03576 | 2017-09-13 |
| 1154735108 | Laurie Connors | Social Worker | 141 Corliss Ln, Indian Stream Health Center, Colebrook, NH 03576 | 2014-06-18 |
| 1053561001 | Darwin A Castor | Nurse Anesthetist, Certified Registered | 181 Corliss Lane, Ucvh, Colebrook, NH 03576 | 2008-09-26 |
| Find all providers in zip 03576 | ||||
| Taxonomy Code | 323P00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Psychiatric Residential Treatment Facility |
| A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient’s surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary |
| Notes: Source: Champus Policy manual, Volume II, p. 6010.47M dated 9/12/94. Revision: Definition title revised 7/1/03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366781866 | Sovereign Journey L3c | Psychiatric Residential Treatment Facility | 2444 Main St, Bethlehem, NH 03574-4916 | 2013-02-05 |
| 1871796318 | Pike School, Inc | Psychiatric Residential Treatment Facility | 2635 Mount Moosilauke Hwy, Pike, NH 03780-5625 | 2007-06-11 |
| 1336216274 | Nfi North, Inc | Psychiatric Residential Treatment Facility | 7 Davenport Rd, Jefferson, NH 03583 | 2006-11-29 |
| 1871669234 | Nfi North, Inc | Psychiatric Residential Treatment Facility | 2554 Route 103, Bradford, NH 03221-3516 | 2006-11-28 |
| 1861491334 | State of New Hampshire | Psychiatric Residential Treatment Facility | 36 Clinton St, Concord, NH 03301-2359 | 2005-07-18 |
| City | STEWARTSTOWN |
| Zip Code | 03576 |
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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.