ECKERD YOUTH ALTERNATIVES INC (NPI# 1336218429) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336218429 |
| Entity Type | Organization |
| Organization Name | ECKERD YOUTH ALTERNATIVES INC |
| Practice Address |
500 E Ku Sumee Dr Candor NC 27229-9058 |
| Mailing Address |
100 Starcrest Dr Clearwater FL 33765-3224 |
| Practice Telephone | 9109744183 |
| Practice Fax Number | 9109747310 |
| Mailing Telephone | 7274612990 |
| Mailing Fax Number | 7272160055 |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2019-09-11 |
| Authorized Official Name | NICOLE STROEBEL (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 | ||
| Y | 323P00000X | Psychiatric Residential Treatment Facility | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 901MXH | 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 |
| 1205905338 | Eckerd Youth Alternatives Inc | Residential Treatment Facility, Emotionally Disturbed Children | 35 Eckerd Way, Stewartstown, NH 03576 | 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 |
| 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 |
500 E KU SUMEE DR |
| City | CANDOR |
| State | NC |
| Zip Code | 27229-9058 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457900490 | Mary Catherine Hartley | Social Worker | 500 E-ku-sumee Road, Candor, NC 27229 | 2019-09-11 |
| 1871049122 | Latayo Morrison | Home Health Aide | 438 Blake Road, Candor, NC 27229 | 2016-08-28 |
| 1649422544 | Vision House Community Outreach Services | Community/Behavioral Health | 5599 Us 220 Alt, Candor, NC 27229 | 2008-10-22 |
| 1780877266 | Neal and Joyce Parson | Custodial Care Facility | 314 Tomlinson South Street, Candor, NC 27229 | 2007-08-20 |
| 1285826784 | Neal and Joyce Parson | Custodial Care Facility | 200 North Main St., Candor, NC 27229 | 2007-08-17 |
| 1174188676 | Brutonville Concerned Citizens, Inc. | Clinic/Center | 112 Brutonville School Road, Candor, NC 27229-2722 | 2019-05-09 |
| 1790796118 | Health Plus of Nc Pa | General Practice | 210 East Main St., Candor, NC 27229-8088 | 2006-08-10 |
| 1346278520 | Lawrence Craig Elliott | Physician Assistant | 21o E Main St., Candor, NC 27229-8088 | 2006-06-28 |
| 1467706705 | Fhpg, LLC | Family Medicine | 210 E Main St, Candor, NC 27229-8088 | 2012-11-08 |
| 1841389053 | Betty B Bradley | Family Medicine | 210 E Main St, Candor, NC 27229-8088 | 2006-10-12 |
| Find all providers in zip 27229 | ||||
| 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 |
|---|---|---|---|---|
| 1740840990 | Alexander Youth Network | Psychiatric Residential Treatment Facility | 1601 Huffine Mill Rd., Bldg B, Greensboro, NC 27405-5509 | 2019-06-19 |
| 1578067146 | Alexander Youth Network | Psychiatric Residential Treatment Facility | 6220e Thermal Rd, Charlotte, NC 28211-5630 | 2018-03-20 |
| 1750827150 | Stephen's Home | Psychiatric Residential Treatment Facility | 6214 Paylor St, Mebane, NC 27302-7020 | 2017-01-10 |
| 1013450055 | Rwilliams | Psychiatric Residential Treatment Facility | 511 Tansy Dr, Charlotte, NC 28214-8832 | 2016-11-23 |
| 1891247490 | Healing Community Adult Cre | Psychiatric Residential Treatment Facility | 55 Congress St, Asheville, NC 28801-4342 | 2016-10-30 |
| 1598219149 | Equinox Rtc, LLC | Psychiatric Residential Treatment Facility | 2420 Middle Fork Rd, Hendersonville, NC 28792-1032 | 2016-08-12 |
| 1497128631 | The Woodard Home | Psychiatric Residential Treatment Facility | 4100 Cherry Tree Dr, Monroe, NC 28110-9692 | 2015-11-10 |
| 1184096661 | Canyon Hills Treatment Facility, LLC | Psychiatric Residential Treatment Facility | 769 Aberdeen Rd, Raeford, NC 28376-0029 | 2015-10-23 |
| 1891164174 | Kearney Home | Psychiatric Residential Treatment Facility | 4408 Iyar Way, Wake Forest, NC 27587-4166 | 2015-09-17 |
| 1396111837 | Mcguinn Home | Psychiatric Residential Treatment Facility | 16 Columbia Cir, Hendersonville, NC 28792-7005 | 2015-08-19 |
| Find all providers with the same taxonomy | ||||
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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.