NPIMap

Organization Active NPI

Healing Educational Alternatives for Deserving Students, LLC

  • Foster Care Agency
  • Fort Myers, FL
National Provider Identifier
1902477987
Registry record updated Sep 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foster Care AgencyTaxonomy code 253J00000X
Legal business name
HEALING EDUCATIONAL ALTERNATIVES FOR DESERVING STUDENTS, LLC
Practice address
3049 Cleveland Ave Ste 290
Fort Myers, FL 33901-7054
Phone
(813) 754-5555
Fax
(813) 441-8825
NPI assigned
Jul 9, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2021

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

Authorized official

Name
Judith Waller
Title
Coo
Phone
(813) 754-5555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foster Care Agency 253J00000X Primary

Addresses

Primary practice location

3049 Cleveland Ave Ste 290
Fort Myers, FL 33901-7054

Mailing address

1001 E Baker St Ste 100
Plant City, FL 33563-3700
Phone (813) 754-5555

National Provider Directory

National Provider Directory
Tax ID family
Healing Educational Alternatives for Deserving Students LLC 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

3049 Cleveland Ave
Ste 290
Fort Myers, FL 33901
Phone (239) 689-4745

NPI Registry JSON

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

{
    "created_epoch": "1625788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632096000000",
    "number": "1902477987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 E BAKER ST STE 100",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335633700",
            "telephone_number": "813-754-5555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3049 CLEVELAND AVE STE 290",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339017054",
            "telephone_number": "813-754-5555",
            "fax_number": "813-441-8825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING EDUCATIONAL ALTERNATIVES FOR DESERVING STUDENTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-09",
        "last_updated": "2021-09-20",
        "certification_date": "2021-09-20",
        "status": "A",
        "authorized_official_last_name": "WALLER",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "813-754-5555"
    },
    "taxonomies": [
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2021; 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.