EDUCARE COMMUNITY LIVING CORPORATION - GULF COAST (NPI# 1063837607) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063837607 |
| Entity Type | Organization |
| Organization Name | EDUCARE COMMUNITY LIVING CORPORATION - GULF COAST |
| Other Organization Name | PASSION GH |
| Practice Address |
19110 Candletrail Dr Spring TX 77388-5217 |
| Mailing Address |
9901 Linn Station Rd Louisville KY 40223-3808 |
| Practice Telephone | 5023942100 |
| Mailing Telephone | 5023942100 |
| Enumeration Date | 2014-02-19 |
| Last Update Date | 2014-02-19 |
| Authorized Official Name | MS. DEENA G. OMBRES (ASSOC. GEN. COUNSEL/PRIVACY OFFICER) |
| Authorized Official Telephone | 5023942100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | TX | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Passion GH | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598253429 | Educare Community Living Corporation - Gulf Coast | Intermediate Care Facility, Mentally Retarded | 5322 Saddle Ridge Trl, San Angelo, TX 76904-7224 | 2018-04-26 |
| 1477978724 | Educare Community Living Corporation - Gulf Coast | Intermediate Care Facility, Mentally Retarded | 10507 Offer Dr, Houston, TX 77031-1801 | 2014-02-24 |
| 1316362957 | Educare Community Living Corporation - Gulf Coast | Intermediate Care Facility, Mentally Retarded | 5202 Alamosa Ln, Spring, TX 77379-8054 | 2014-02-19 |
| 1871918417 | Educare Community Living Corporation - Gulf Coast | Intermediate Care Facility, Mentally Retarded | 7418 Antoine Dr, Houston, TX 77088-6707 | 2014-02-19 |
| 1861817405 | Educare Community Living Corporation - Gulf Coast | Intermediate Care Facility, Mentally Retarded | 9107 Spellman Rd, Houston, TX 77031-2222 | 2014-02-19 |
| 1851716401 | Educare Community Living Corporation - Gulf Coast | Intermediate Care Facility, Mentally Retarded | 3419 Boca Raton Dr, Missouri City, TX 77459-4408 | 2014-02-19 |
| 1023433679 | Educare Community Living Corporation - Gulf Coast | Intermediate Care Facility, Mentally Retarded | 8002 Fawn Terrace Dr, Houston, TX 77071-2723 | 2014-02-19 |
| 1588089130 | Educare Community Living Corporation - Gulf Coast | Intermediate Care Facility, Mentally Retarded | 12711 Shannon Hills Dr, Houston, TX 77099-1241 | 2014-02-19 |
| 1437350279 | Educare Community Living Corporation - Gulf Coast | Community/Behavioral Health | 901 S Mo Pac Expy, Bldg II Suite 450, Austin, TX 78746-5776 | 2007-05-30 |
| Street Address |
19110 CANDLETRAIL DR |
| City | SPRING |
| State | TX |
| Zip Code | 77388-5217 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003391020 | Patricia Tate Gaston | Registered Nurse | 4923 Kasos Isle Dr, Spring, TX 77388 | 2018-09-25 |
| 1740762707 | Katie Hunsaker | Registered Nurse | 1822 Adobe Falls Dr, Spring, TX 77388 | 2018-09-05 |
| 1730661885 | Shantia Kazemi Esfeh | Dentist | 3100 Fm 2920 Rd # Tx77388, Spring, TX 77388 | 2018-09-05 |
| 1801372024 | Sebastian Trung Khanh Nguyen | Dentist | 19507 Interstate 45 Ste 522, Spring, TX 77388 | 2018-07-11 |
| 1952894461 | Ameen M Mukhi | Dentist | 3403 Louetta Rd Ste B, Spring, TX 77388 | 2018-06-08 |
| 1427563006 | H-e-b, Lp | Clinical Medical Laboratory | 5251 Fm 2920, Spring, TX 77388 | 2017-12-05 |
| 1487165536 | Rx Spring Pharmacy | Pharmacy | 3301 Louetta Rd, Suite 101, Spring, TX 77388 | 2017-10-17 |
| 1679091045 | Fresenius Medical Care Spring Klein Dialysis Center, LLC | Clinic/Center | 5230 Fm 2920 Road, Spring, TX 77388 | 2017-09-06 |
| 1801312194 | Ashley Neal | Behavioral Analyst | 21426 Hannover Pines Dr., Spring, TX 77388 | 2017-08-17 |
| 1023472602 | Cvs Pharmacy | Pharmacist | 19511 I H 45, Spring, TX 77388 | 2016-04-08 |
| Find all providers in zip 77388 | ||||
| Taxonomy Code | 315P00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mentally Retarded |
| (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. |
| Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316362957 | Educare Community Living Corporation - Gulf Coast | Intermediate Care Facility, Mentally Retarded | 5202 Alamosa Ln, Spring, TX 77379-8054 | 2014-02-19 |
| 1093837858 | Educare Community Living Limited Partnership | Intermediate Care Facility, Mentally Retarded | 21023 Verdecove Ln, Spring, TX 77388-4342 | 2007-04-04 |
| 1851411896 | Educare Communtiy Living Limited Partnership | Intermediate Care Facility, Mentally Retarded | 21710 Meadowhill Dr, Spring, TX 77388-3351 | 2007-03-31 |
| 1841215175 | Tri-county Behavioral Healthcare | Intermediate Care Facility, Mentally Retarded | 28902 Enchanted Dr, Spring, TX 77381-1105 | 2006-07-13 |
| 1649336009 | Hugs&kisses Respite and PCa Services Ic | Intermediate Care Facility, Mentally Retarded | 19719 Lajuana Ln, Spring, TX 77388-6119 | 2006-12-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225639271 | St. Giles Living Centers, Inc. | Intermediate Care Facility, Mentally Retarded | 3323 Gail Ln, Tyler, TX 75701-7425 | 2020-11-05 |
| 1952902900 | St. Giles Living Centers, Inc. | Intermediate Care Facility, Mentally Retarded | 2500 Terry Pl, Greenville, TX 75402-7131 | 2020-11-05 |
| 1811598865 | St. Giles Living Centers, Inc. | Intermediate Care Facility, Mentally Retarded | 100 Patti J St, Greenville, TX 75402-8053 | 2020-11-05 |
| 1124629175 | St. Giles Living Centers, Inc. | Intermediate Care Facility, Mentally Retarded | 2616 Pounds Ave, Tyler, TX 75701-5627 | 2020-11-05 |
| 1568063527 | St. Giles Living Centers, Inc. | Intermediate Care Facility, Mentally Retarded | 2525 Preston Ave, Tyler, TX 75701-4644 | 2020-11-05 |
| 1104427509 | St. Giles Living Centers, Inc. | Intermediate Care Facility, Mentally Retarded | 2812 Shaffer Ln, Tyler, TX 75702-1653 | 2020-11-03 |
| 1265033658 | St. Giles Living Centers, Inc. | Intermediate Care Facility, Mentally Retarded | 3506 Garber Cir, Greenville, TX 75402-6234 | 2020-11-03 |
| 1487255873 | St. Giles Living Centers, Inc. | Intermediate Care Facility, Mentally Retarded | 3600 New Copeland Rd, Tyler, TX 75701-8839 | 2020-11-03 |
| 1306446000 | Daybreak, Inc. | Intermediate Care Facility, Mentally Retarded | 6520 Braddock Pl, Dallas, TX 75232-2902 | 2020-10-30 |
| 1578179750 | Keondra C Johnson | Intermediate Care Facility, Mentally Retarded | 2140 Medical District Dr Apt 2052, Dallas, TX 75235-8097 | 2020-09-22 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.