Organization Active NPI

Holt International Children'S Services, Inc.

  • Community/Behavioral Health Agency
  • Eugene, OR
National Provider Identifier
1538586649
Registry record updated Oct 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
HOLT INTERNATIONAL CHILDREN'S SERVICES, INC.
Doing business as
Holt - Sunny Ridge Children's Services
Practice address
250 Country Club Rd
Eugene, OR 97401
Phone
(541) 687-2202
Fax
(541) 683-6175
NPI assigned
Mar 26, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2020

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

Authorized official

Name
Daniel J. Smith
Title
Cfo
Phone
(541) 687-2202

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

250 Country Club Rd
Eugene, OR 97401

Mailing address

PO Box 2880
Eugene, OR 97402-0375
Phone (541) 687-2202

Other names 1

  • Holt - Sunny Ridge Children's Services Doing business as

National Provider Directory

National Provider Directory

Locations

250 Country Club Rd
Eugene, OR 97401
Phone (541) 687-2202

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": "1395792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603843200000",
    "number": "1538586649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2880",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974020375",
            "telephone_number": "541-687-2202",
            "fax_number": "541-683-6175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 COUNTRY CLUB RD",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "97401",
            "telephone_number": "541-687-2202",
            "fax_number": "541-683-6175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLT INTERNATIONAL CHILDREN'S SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-26",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-28",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "541-687-2202"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Holt - Sunny Ridge Children's Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Eugene, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.