EDUCARE COMMUNITY LIVING CORPORATION - TEXAS (NPI# 1073634762) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073634762 |
| Entity Type | Organization |
| Organization Name | EDUCARE COMMUNITY LIVING CORPORATION - TEXAS |
| Other Organization Name | EC HOUS SPRING SHADOW |
| Practice Address |
2803 Quincannon Ln Houston TX 77043-1603 |
| Mailing Address |
9901 Linn Station Rd Louisville KY 40223-3808 |
| Practice Telephone | 7136903127 |
| Mailing Telephone | 8008660860 |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2008-07-14 |
| Authorized Official Name | DEENA OMBRES (PRIVACY OFFICER) |
| Authorized Official Telephone | 5023942387 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 000397101 | 05 |
| Other Name | Type Code |
|---|---|
| EC HOUS SPRING SHADOW | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285299636 | Educare Community Living Corporation - Texas | Intermediate Care Facility, Mentally Retarded | 6647 Cades Cv, San Antonio, TX 78238-2238 | 2019-05-01 |
| 1730744186 | Educare Community Living Corporation - Texas | Intermediate Care Facility, Mentally Retarded | 7422 Quail Run Dr, San Antonio, TX 78209-3129 | 2019-05-01 |
| 1649672536 | Educare Community Living Corporation - Texas | Community/Behavioral Health | 4102 S 31st St, Suite 1100, Temple, TX 76502-3350 | 2014-09-23 |
| 1649609132 | Educare Community Living Corporation - Texas | Intermediate Care Facility, Mentally Retarded | 5303 Vista Run Dr, San Antonio, TX 78247-4684 | 2013-11-05 |
| 1700215290 | Educare Community Living Corporation - Texas | Intermediate Care Facility, Mentally Retarded | 12342 Mapletree St, San Antonio, TX 78249-2429 | 2013-11-05 |
| 1316376924 | Educare Community Living Corporation - Texas | Intermediate Care Facility, Mentally Retarded | 14038 Boulder Oaks, San Antonio, TX 78247-3103 | 2013-11-04 |
| 1710316328 | Educare Community Living Corporation - Texas | Intermediate Care Facility, Mentally Retarded | 5119 Stormy Sunset, San Antonio, TX 78247-1721 | 2013-11-04 |
| 1639508245 | Educare Community Living Corporation - Texas | Intermediate Care Facility, Mentally Retarded | 5223 Stormy Sunset, San Antonio, TX 78247-1723 | 2013-11-04 |
| 1902235518 | Educare Community Living Corporation - Texas | Intermediate Care Facility, Mentally Retarded | 17002 Vista Briar Dr, San Antonio, TX 78247-4636 | 2013-11-04 |
| 1417386392 | Educare Community Living Corporation - Texas | Intermediate Care Facility, Mentally Retarded | 106 Granada Dr, San Antonio, TX 78216-3546 | 2013-11-01 |
| Street Address |
2803 QUINCANNON LN |
| City | HOUSTON |
| State | TX |
| Zip Code | 77043-1603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386286102 | Keith Nunez | Physical Therapist | 10496 Katy Fwy 101, Houston, TX 77043 | 2019-10-14 |
| 1730730128 | Melinda Lee Mogas | Occupational Therapist | 1900 Kersten Dr., Houston, TX 77043 | 2019-09-26 |
| 1568827491 | Gina Bates | Behavioral Analyst | 1907 Nocturne Ln, Houston, TX 77043 | 2015-12-18 |
| 1770917841 | Stephanie Howard Ambrose | Physical Therapist | 10100 Katy Fwy Ste 170, Houston, TX 77043 | 2013-08-26 |
| 1114271475 | Glencris Construction Inc. | Durable Medical Equipment & Medical Supplies | 2121 Brittmoore Rd., Suite 8400, Houston, TX 77043 | 2012-11-07 |
| 1033468111 | Travis Medical Sales Corporation | Durable Medical Equipment & Medical Supplies | 1332 Upland Drive, Houston, TX 77043 | 2012-09-05 |
| 1770861452 | Myofascial Pain Center | Rehabilitation Practitioner | 1140 Business Center Dr. Ste. 580, Houston, TX 77043 | 2011-07-28 |
| 1871886846 | Jenny T. Wang | Psychologist | 1888 Stebbins Drive, Suite 200, Houston, TX 77043 | 2011-05-24 |
| 1518277458 | Wrenwood Medical Equipment | Durable Medical Equipment & Medical Supplies | 1421 Wycliffe Dr, Houston, TX 77043 | 2010-10-13 |
| 1841518925 | Memorial Surgical Solutions | Clinic/Center | 10504 Katy Freeway, Houston, TX 77043 | 2010-05-13 |
| Find all providers in zip 77043 | ||||
| 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 |
|---|---|---|---|---|
| 1467062869 | Affluent Health Care Services Inc. | Intermediate Care Facility, Mentally Retarded | 7542 Autumn Sun Dr, Houston, TX 77083-6915 | 2020-07-31 |
| 1083030357 | Embracing Angles | Intermediate Care Facility, Mentally Retarded | 4914 Teton St, Houston, TX 77033-3531 | 2014-03-11 |
| 1477978724 | Educare Community Living Corporation - Gulf Coast | Intermediate Care Facility, Mentally Retarded | 10507 Offer Dr, Houston, TX 77031-1801 | 2014-02-24 |
| 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 |
| 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 |
| 1376820548 | Graphere Inc. | Intermediate Care Facility, Mentally Retarded | 1918 Wycliffe Dr, Houston, TX 77043-2706 | 2011-11-15 |
| 1215213236 | Rozebel Healthcare Services, Inc. | Intermediate Care Facility, Mentally Retarded | 9896 Bissonnet St Ste 335, Houston, TX 77036-8159 | 2011-10-24 |
| 1538467865 | Josephine Eudes Iwuh | Intermediate Care Facility, Mentally Retarded | 6211 Sonomaway, Houston, TX 77053-4347 | 2011-03-10 |
| Find all providers in HOUSTON | ||||
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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.