Organization Active NPI

Ecci, LLC

Doing business as Sandy Park Community Center

  • Developmentally Disabled Services Day Training Agency
  • North Fort Myers, FL
National Provider Identifier
1598447138
Registry record updated Aug 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
ECCI, LLC
Doing business as
Sandy Park Community Center
Practice address
2951 Garden Street
North Fort Myers, FL 33917-1883
Phone
(239) 652-5604
Fax
(239) 652-5606
NPI assigned
Aug 3, 2023
Last updated
Aug 3, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
ECCI, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 3, 2023

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

Authorized official

Name
Mr. Kenneth Schultz
Title
President
Phone
(407) 645-3211

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X NU Primary

Addresses

Primary practice location

2951 Garden Street
North Fort Myers, FL 33917-1883

Mailing address

1890 State Road 436
Suite 300
Winter Park, FL 32792-2285
Phone (407) 645-3211

Other names 1

  • Sandy Park Community Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Ecci LLC5 organizations share this tax ID, including this one
Part of
Ecci LLC

Other organizations with this tax ID 4

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

Locations

2951 Garden St
North Fort Myers, FL 33917
Phone (239) 652-5604

NPI Registry JSON

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

{
    "created_epoch": "1691020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691020800000",
    "number": "1598447138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1890 STATE ROAD 436",
            "address_2": "SUITE 300",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327922285",
            "telephone_number": "407-645-3211",
            "fax_number": "407-645-3011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2951 GARDEN STREET",
            "city": "NORTH FORT MYERS",
            "state": "FL",
            "postal_code": "339171883",
            "telephone_number": "239-652-5604",
            "fax_number": "239-652-5606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ECCI, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ECCI, LLC",
        "enumeration_date": "2023-08-03",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A",
        "authorized_official_last_name": "SCHULTZ",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-645-3211",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sandy Park Community Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2023; 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.