ECKERD YOUTH ALTERNATIVES INC (NPI# 1912076092) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912076092 |
| Entity Type | Organization |
| Organization Name | ECKERD YOUTH ALTERNATIVES INC |
| Practice Address |
3112 Friendship Rd Milton FL 32570-9775 |
| Mailing Address |
Po Box 7450 100 N Starcrest Drive Clearwater FL 33758-7450 |
| Practice Telephone | 8506754512 |
| Practice Fax Number | 8506751230 |
| Mailing Telephone | 7274612990 |
| Mailing Fax Number | 7272160055 |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2007-07-08 |
| Authorized Official Name | MRS. SUSAN G CASPER (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 7274612990 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 323P00000X | Psychiatric Residential Treatment Facility | Residential Treatment Facilities |
| 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 |
| 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 |
| 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 |
3112 FRIENDSHIP RD |
| City | MILTON |
| State | FL |
| Zip Code | 32570-9775 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902365604 | Megan Lasure | Behavior Technician | 5950 Berryhill Medical Park Dr Ste B, Milton, FL 32570 | 2019-03-13 |
| 1104328681 | Katherine Smith Lockler | Foster Care Agency | 6357 Brigadier Road, Milton, FL 32570 | 2018-03-01 |
| 1750565768 | Emerald Coast Surgical Specialists Pa | Surgery | 5992 Berryhill Road, 203, Milton, FL 32570 | 2007-12-27 |
| 1285815662 | Chandria Lynn Johnson Md Pa | Obstetrics & Gynecology | 5950 Berryhill Medical Park Dr, Suite B, Milton, FL 32570 | 2007-11-14 |
| 1659590255 | Medical Associates Ltd | Specialist | 5950 Berryhill Medical, Milton, FL 32570 | 2007-04-24 |
| 1255404620 | Jonathan E Fountain Md | Family Medicine | 5976 Berryhill Rd, Milton, FL 32570 | 2006-11-15 |
| 1043317530 | Holiday Cvs LLC | Durable Medical Equipment & Medical Supplies | 6501 Caroline St Hwy 90, Milton, FL 32570 | 2006-09-19 |
| 1497764484 | Jennfer A Godfrey | Speech-Language Pathologist | 5165 Canal Street, Milton, FL 32570 | 2006-08-07 |
| 1316977135 | Rural Metro of North Florida Inc | Ambulance | 4930 Glover Lane, Milton, FL 32570 | 2006-07-04 |
| 1558304519 | Pensacola Nephrology Pa | Specialist | 5934 Berryhill Medical Park Dr, Suite 1, Milton, FL 32570 | 2006-06-14 |
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| 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 |
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|---|---|---|---|---|
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| 1568936557 | Telecare Mental Health Services of Washington, Inc. | Psychiatric Residential Treatment Facility | 7224 Pacific Highway East, Milton, WA 98354 | 2019-01-14 |
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| 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 |
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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.