Organization Active NPI

Ecci, LLC

  • Developmentally Disabled Services Day Training Agency
  • Orlando, FL
National Provider Identifier
1881734580
Registry record updated Jun 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
F593197713001 Issued in FL
Legal business name
ECCI, LLC
Practice address
375 S Lake Destiny Dr
Orlando, FL 32810-6238
Phone
(407) 660-8330
Fax
(407) 660-1614
NPI assigned
Feb 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2014

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X F593197713001 FL Primary

Addresses

Primary practice location

375 S Lake Destiny Dr
Orlando, FL 32810-6238

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
670938996MedicaidFL

Other names 1

  • Central Florida Contract Industries Doing business as

National Provider Directory

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

Other organizations with this tax ID 4

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

Locations

375 S Lake Destiny Dr
Orlando, FL 32810
Phone (407) 660-8330

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401667200000",
    "number": "1881734580",
    "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": "407-628-2853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 S LAKE DESTINY DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328106238",
            "telephone_number": "407-660-8330",
            "fax_number": "407-660-1614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ECCI, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2014-06-02",
        "status": "A",
        "authorized_official_last_name": "SCHULTZ",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "H.",
        "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": "FL",
            "license": "F593197713001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "670938996",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central Florida Contract Industries",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2014; 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.