Organization Active NPI

Clinicare Corporation

Doing business as Eau Claire Academy

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Eau Claire, WI
National Provider Identifier
1235297789
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
Legal business name
CLINICARE CORPORATION
Doing business as
Eau Claire Academy
Practice address
550 N Dewey St
Eau Claire, WI 54703-3218
Phone
(715) 834-6681
Fax
(715) 834-9954
NPI assigned
Dec 5, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Charles Albrent
Title
Director
Phone
(715) 834-6681

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X WI Primary

Addresses

Primary practice location

550 N Dewey St
Eau Claire, WI 54703-3218

Mailing address

550 N Dewey St
PO Box 1168
Eau Claire, WI 54703-3218
Phone (715) 834-6681

Other names 1

  • Eau Claire Academy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Eau Claire Academy HC28 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235297789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 N DEWEY ST",
            "address_2": "PO BOX 1168",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547033218",
            "telephone_number": "715-834-6681",
            "fax_number": "715-834-9954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 N DEWEY ST",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547033218",
            "telephone_number": "715-834-6681",
            "fax_number": "715-834-9954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICARE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ALBRENT",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "715-834-6681",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eau Claire Academy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Eau Claire, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.