NPIMap

Organization Active NPI

Eckerd Youth Alternatives, Inc. Dba Eckerd Connects

  • Foster Care Agency
  • Wichita, KS
National Provider Identifier
1073984258
Registry record updated Sep 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foster Care AgencyTaxonomy code 253J00000X
License
0072480-005 Issued in KS
Legal business name
ECKERD YOUTH ALTERNATIVES, INC. DBA ECKERD CONNECTS
Practice address
1999 N Amidon Ave
Suite 232
Wichita, KS 67203-2121
Phone
(316) 440-5536
NPI assigned
Oct 13, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
David Dennis
Title
Cfo
Phone
(727) 461-2990

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foster Care Agency 253J00000X 0072480-005 KS Primary

Addresses

Primary practice location

1999 N Amidon Ave
Suite 232
Wichita, KS 67203-2121

Mailing address

100 Starcrest Dr
Clearwater, FL 33765-3224
Phone (727) 461-2990

Other names 1

  • Eckerd Other name

National Provider Directory

National Provider Directory
Tax ID family
Eckerd Youth Alternatives Inc Dba Eckerd Connects13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1444694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568073600000",
    "number": "1073984258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 STARCREST DR",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337653224",
            "telephone_number": "727-461-2990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1999 N AMIDON AVE",
            "address_2": "SUITE 232",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672032121",
            "telephone_number": "316-440-5536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ECKERD YOUTH ALTERNATIVES, INC. DBA ECKERD CONNECTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-13",
        "last_updated": "2019-09-10",
        "status": "A",
        "authorized_official_last_name": "DENNIS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "727-461-2990"
    },
    "taxonomies": [
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": "KS",
            "license": "0072480-005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eckerd",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.