NPIMap

Organization Active NPI

Healing Educational Alternatives for Deserving Students

  • Community/Behavioral Health Agency
  • Tamarac, FL
National Provider Identifier
1720336472
Registry record updated Aug 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
HEALING EDUCATIONAL ALTERNATIVES FOR DESERVING STUDENTS
Practice address
8179 N Pine Island Rd
Tamarac, FL 33321-1543
Phone
(239) 352-1712
NPI assigned
Aug 28, 2012
Last updated
Aug 28, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2012

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

Authorized official

Name
Edward Waller
Title
President
Phone
(239) 352-1712

Specialties & licenses 1

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

Addresses

Primary practice location

8179 N Pine Island Rd
Tamarac, FL 33321-1543

Mailing address

701 S Howard Ave
Suite 106336
Tampa, FL 33606-2473
Phone (239) 352-1712

National Provider Directory

National Provider Directory
Tax ID family
Heads19 organizations share this tax ID, including this one

Other organizations with this tax ID 18

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

View all 18

Locations

8179 N Pine Island Rd
Tamarac, FL 33321
Phone (239) 352-1712

701 S Howard Ave
Ste 106336
Tampa, FL 33606

NPI Registry JSON

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

{
    "created_epoch": "1346112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346112000000",
    "number": "1720336472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 S HOWARD AVE",
            "address_2": "SUITE 106336",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336062473",
            "telephone_number": "239-352-1712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8179 N PINE ISLAND RD",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333211543",
            "telephone_number": "239-352-1712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING EDUCATIONAL ALTERNATIVES FOR DESERVING STUDENTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-28",
        "last_updated": "2012-08-28",
        "status": "A",
        "authorized_official_last_name": "WALLER",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-352-1712"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tamarac, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2012; 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.