ECKERD YOUTH ALTERNATIVES INC (NPI# 1114096278) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114096278 |
| Entity Type | Organization |
| Organization Name | ECKERD YOUTH ALTERNATIVES INC |
| Practice Address |
876 Root Pond Rd Benson VT 05743-9596 |
| Mailing Address |
Po Box 7450 100 N Starcrest Drive Clearwater FL 33758-7450 |
| Practice Telephone | 8025374101 |
| Practice Fax Number | 8025374104 |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VT | 1005031 | 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 |
| 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 |
876 ROOT POND RD |
| City | BENSON |
| State | VT |
| Zip Code | 05743-9596 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700055738 | Dru Ann Pollinger | Veterinarian | 799 Rte 22a North, Fair Haven Animal Hospital, Fair Haven, VT 05743 | 2008-02-25 |
| 1720261787 | Nathan Fiske | Pharmacist | 62 Washington Street, Fair Haven, VT 05743 | 2007-12-13 |
| 1265645097 | The Owen House Ltd | Custodial Care Facility | 3 Union St, Fair Haven, VT 05743-1028 | 2007-05-08 |
| 1215934583 | Ryan P Mahar | Physical Therapist | 28 4th St, Fair Haven, VT 05743-1053 | 2005-07-01 |
| 1790162212 | Donna P Johnson Physical Therapy PC | Physical Therapist | 28 4th St, Fair Haven, VT 05743-1053 | 2015-05-05 |
| 1730466756 | Emily J Macura | Physical Therapist | 28 4th St, Fair Haven, VT 05743-1053 | 2011-11-04 |
| 1316945777 | Donna Plante | Physical Therapist | 28 4th St, Fair Haven, VT 05743-1053 | 2005-07-11 |
| 1255338539 | Donna P Johnson Physical Therapy PC | Physical Therapist | 28 4th St, Fair Haven, VT 05743-1053 | 2005-07-01 |
| 1154432540 | Jack Hamilton | Dentist | 129b N Main St, Fair Haven, VT 05743-1132 | 2006-08-31 |
| 1174814156 | H & K Dental Services,plc | Clinic/Center | 129b N Main St, Fair Haven, VT 05743-1132 | 2011-04-26 |
| Find all providers in zip 05743 | ||||
| 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 |
|---|---|---|---|---|
| 1386686509 | Southeastern Arizona Behavioral Health Service, Inc | Psychiatric Residential Treatment Facility | 646 W Union St, Benson, AZ 85602-6713 | 2006-06-12 |
| 1659369569 | Southeastern Arizona Behavioral Health Services, Inc. | Psychiatric Residential Treatment Facility | 470 S Ocotillo Ave, Benson, AZ 85602-6403 | 2005-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366002636 | Brattleboro Retreat | Psychiatric Residential Treatment Facility | 24 Linden Street, Brattleboro, VT 05302 | 2019-06-18 |
| 1932303823 | Spruce Mountain Inn, Inc. | Psychiatric Residential Treatment Facility | 155 Towne Ave, Plainfield, VT 05667-0153 | 2007-06-13 |
| 1881816254 | Bromley Brook School | Psychiatric Residential Treatment Facility | 2595 Depot St, Manchester Center, VT 05255-9773 | 2007-05-03 |
| 1962574053 | Uhs of Sutton Inc | Psychiatric Residential Treatment Facility | 2684 King George Farm Rd, Sutton, VT 05867-9626 | 2006-11-14 |
| 1043818677 | Inner Fire, Inc | Psychiatric Residential Treatment Facility | 26 Parker Rd, Brookline, VT 05345-9793 | 2020-10-15 |
| 1356706147 | White River Junction Vamc | Psychiatric Residential Treatment Facility | 215 N Main St, White River Junction, VT 05009-3833 | 2015-12-21 |
| 1073898987 | Merry Meadow Farm | Psychiatric Residential Treatment Facility | 2122 Lower Pln, Bradford, VT 05033-8936 | 2011-10-12 |
Please comment or provide details below to improve the information on ECKERD YOUTH ALTERNATIVES INC.
| 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.