ECKERD YOUTH ALTERNATIVES, INC. (NPI# 1275602302) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275602302 |
| Entity Type | Organization |
| Organization Name | ECKERD YOUTH ALTERNATIVES, INC. |
| Other Organization Name | ECKERD CONNECTS |
| Practice Address |
7027 E Stage Coach Trail Floral City FL 34436-3542 |
| Mailing Address |
100 Starcrest Dr Clearwater FL 33765-3224 |
| Practice Telephone | 3527263883 |
| Practice Fax Number | 3527263260 |
| Mailing Telephone | 7274612990 |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2019-11-20 |
| Authorized Official Name | DAVID DENNIS (CFO) |
| Authorized Official Telephone | 7274612990 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
Allopathic & Osteopathic Physicians | ||
| N | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers | ||
| N | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| Y | 323P00000X | Psychiatric Residential Treatment Facility | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Eckerd Connects | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4654 High Rock Rd, Boomer, NC 286069109 | 3369213300 | |
| 500 E. Ku Sumee Road, Candor, NC 27229 | 9109744183 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Eckerd Youth Alternatives, Inc | 100 Starcrest Drive, Clearwater, FL 33765 |
| Oregon Corporations, Companies and Business Names | ECKERD YOUTH ALTERNATIVES, INC. | 100 Starcrest Drive, Clearwater, FL 33765 |
| Vermont Business Registrations | ECKERD YOUTH ALTERNATIVES, INC. | 100 Starcrest Drive, Clearwater, FL 33765 |
| Oklahoma Business Registrations | ECKERD YOUTH ALTERNATIVES, INC. | 100 Starcrest Dr, Clearwater, FL 33765 |
| Iowa Business Entities | ECKERD YOUTH ALTERNATIVES, INC. | 100 Starcrest Drive, Clearwater, FL 33765 |
| Indiana Business Entities | ECKERD YOUTH ALTERNATIVES, INC. | 100 N Starcrest Dr, Clearwater, FL 33758 |
| Connecticut Business Registrations | ECKERD YOUTH ALTERNATIVES, INC. | 100 Starcrest Drive, Clearwater, FL 33765 |
| Street Address |
7027 E STAGE COACH TRAIL |
| City | FLORAL CITY |
| State | FL |
| Zip Code | 34436-3542 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073575528 | Girija Padmanabh | Family Medicine | 415 East Noble Ave, Bushnell, FL 34436 | 2006-04-03 |
| 1346445046 | Joyce Elaine Parker | Driver | 10849 E Gobbler Dr, Floral City, FL 34436-2274 | 2007-06-20 |
| 1104859289 | John D. Gelin | Family Medicine | 7648 S Florida Ave, Floral City, FL 34436-2738 | 2006-07-09 |
| 1316362536 | Blue Water Surgical, Pllc | Surgery | 7062 S Aloysia Ave, Floral City, FL 34436-2844 | 2014-02-25 |
| 1275806358 | Laurie Patricia Keefe-cecere | Social Worker | 8163 S Florida Ave, Floral City, FL 34436-3101 | 2012-02-20 |
| 1538527619 | Tree of Life Counseling Center, LLC | Social Worker | 8163 S Florida Ave, Floral City, FL 34436-3101 | 2016-02-04 |
| 1619116480 | Luz Y Echeverri | Mechanotherapist | 7489 E Stage Coach Trl, 7489 E Stage Coach Trail, Floral City, FL 34436-3608 | 2009-02-18 |
| 1649543547 | Cynthia Marie English | Massage Therapist | 8934 S Waterview Dr, Floral City, FL 34436-3630 | 2012-02-23 |
| 1861488330 | Ana C Cruz Diaz | Family Medicine | 7729 E Pine Lake Ln, Floral City, FL 34436-3745 | 2005-09-21 |
| 1154823540 | Carrie Reeves | Nurse Practitioner | 9448 S Kingbird Ter, Floral City, FL 34436-3901 | 2018-03-01 |
| Find all providers in zip 34436 | ||||
| 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 |
|---|---|---|---|---|
| 1114546512 | Access Granted Now, Inc | Psychiatric Residential Treatment Facility | 6502 28th Ave E, Palmetto, FL 34221-8866 | 2020-04-15 |
| 1336789478 | Insight Behavioral Health & Addiction Solutions, Inc. | Psychiatric Residential Treatment Facility | 1116 Dogwood Ave, Tampa, FL 33613-1718 | 2020-01-07 |
| 1154960417 | Insight Behavioral Health & Addiction Solutions, Inc. | Psychiatric Residential Treatment Facility | 14806 Wedgewood Dr, Tampa, FL 33613-1529 | 2020-01-03 |
| 1376189951 | Blessings Treatment and Recovery Center | Psychiatric Residential Treatment Facility | 4123 Tonga Ln Apt 2, New Port Richey, FL 34653-6169 | 2019-11-19 |
| 1073168431 | Discovery Practice Management, Inc. | Psychiatric Residential Treatment Facility | 151 Southhall Ln Ste 165, Maitland, FL 32751-7486 | 2019-08-02 |
| 1730742891 | Blessings Treatment and Recovery Center LLC | Psychiatric Residential Treatment Facility | 4127 Tonga Ln Apt 2, New Port Richey, FL 34653-6168 | 2019-04-15 |
| 1194236513 | Kinder In The Keys | Psychiatric Residential Treatment Facility | 6 Ocean View Blvd, Key Largo, FL 33037-3833 | 2017-10-12 |
| 1932631827 | Boca Ri LLC | Psychiatric Residential Treatment Facility | 1000 Nw 15th St, Boca Raton, FL 33486 | 2017-03-30 |
| 1457898744 | Phpts of Ormond Beach, LLC | Psychiatric Residential Treatment Facility | 515 Tomoka Ave, Ormond Beach, FL 32174-6133 | 2017-01-24 |
| 1619411014 | Renaissance Healthcare Group LLC | Psychiatric Residential Treatment Facility | 119 Pasadena Pl, Orlando, FL 32803-3825 | 2016-12-05 |
| Find all providers with the same taxonomy | ||||
| City | FLORAL CITY |
| Zip Code | 34436 |
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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.