EDUCARE COMMUNITY LIVING CORPORATION - NORTH CAROLINA


Address: 3906 Vesta Dr, Raleigh, NC 27603-3846
Phone: 9197721459

EDUCARE COMMUNITY LIVING CORPORATION - NORTH CAROLINA (NPI# 1184057416) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1184057416
Entity Type Organization
Organization Name EDUCARE COMMUNITY LIVING CORPORATION - NORTH CAROLINA
Other Organization Name COMMUNITY ALTERNATIVES NORTH CAROLINA
Practice Address 3906 Vesta Dr
Raleigh
NC 27603-3846
Mailing Address 9901 Linn Station Rd
Louisville
KY 40223-3808
Practice Telephone 9197721459
Mailing Telephone 5023942100
Enumeration Date 2013-08-09
Last Update Date 2013-08-09
Authorized Official Name MS. DEENA G. OMBRES (ASSOC. GEN. COUNSEL/PRIVACY OFFICER)
Authorized Official Telephone 5023942100
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251S00000X Community/Behavioral Health MHL--092-266 NC Agencies

Other Provider Identifier

State Issuer Identifier Type Code
NC 3408589 05

Other Provider/Organization Names

Other Name Type Code
Community Alternatives North Carolina Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1669897369 Educare Community Living Corporation - North Carolina In Home Supportive Care 216 E. Parker St., Calypso, NC 28325 2014-03-04
1225461460 Educare Community Living Corporation - North Carolina Community/Behavioral Health 309 Westonridge Run, Garner, NC 27529-5327 2013-08-12
1508299835 Educare Community Living Corporation - North Carolina Community/Behavioral Health 1514 Kennon Rd, Garner, NC 27529-4431 2013-08-09
1407289739 Educare Community Living Corporation - North Carolina Community/Behavioral Health 225 Buck Jones Rd, Raleigh, NC 27606-1220 2013-08-09
1992137830 Educare Community Living Corporation - North Carolina Community/Behavioral Health 2925 Loon Dr, Fayetteville, NC 28306-9197 2013-08-02
1356773204 Educare Community Living Corporation - North Carolina Community/Behavioral Health 600 Rawls Dr, Raleigh, NC 27610-2842 2013-08-02
1265864102 Educare Community Living Corporation - North Carolina Community/Behavioral Health 428 Tippett Rd, Zebulon, NC 27597-7897 2013-08-02
1457783300 Educare Community Living Corporation - North Carolina Community/Behavioral Health 8612 Keegan Ct, Raleigh, NC 27613-3654 2013-08-02
1255763108 Educare Community Living Corporation - North Carolina Community/Behavioral Health 2022 Ford Gates Dr, Garner, NC 27529-3766 2013-08-02
1770827552 Educare Community Living Corporation - North Carolina Intermediate Care Facility, Mentally Retarded 8205 Browne Rd., Charlotte, NC 28217 2012-11-19

Office Location

Street Address 3906 VESTA DR
City RALEIGH
State NC
Zip Code 27603-3846

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1245854736 Rdu Medical Transportation Group Non-emergency Medical Transport (VAN) 3751 Junction Blvd Suite C Raleigh Nc 27603, C, Raleigh, NC 27603 2020-06-01
1275997595 Run Raleigh Pt, LLC Physical Therapist 401 N West Street, Suite 121, Raleigh, NC 27603 2016-04-12
1508256496 Nneka Ifeoma Hay Nurse Practitioner 1390 Capital Boulevard, Raleigh, NC 27603 2015-01-29
1841680220 Oswald H Ganley Internal Medicine 1251 Goode St, The Healing Place of Wake County, Raleigh, NC 27603 2015-01-23
1578979548 Grishma Ajmera Pharmacist 1531 Dormitory Rd, Raleigh, NC 27603 2014-07-10
1699036467 Brian Ellison Pharmacist 401 Glenwood Ave # 101, Raleigh, NC 27603 2012-06-07
1255607610 Brian Nichols Specialist/Technologist 605 Trunecek Circle, Raleigh, NC 27603 2012-03-29
1548532120 Living With Autism Inc Home Health 7401 Denlee Rd, Raleigh, NC 27603 2012-01-30
1417238189 Crystal Shawnette Yarborough Counselor 3040 Hammond Business Pl Suite 105, Va Raleigh II Clinic, Raleigh, NC 27603 2011-09-07
1982906673 Annie & Khamorah's Place Home Health 2917 Fairway Drive, Raleigh, NC 27603 2010-12-01
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Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1528688678 Life Extensions LLC Community/Behavioral Health 4304 Coburn Pl Apt 106, Raleigh, NC 27616-7971 2020-04-19
1639716368 Monarch Community/Behavioral Health 1705 Beacon Bluff St, Raleigh, NC 27604-5446 2019-12-02
1700429396 Transcending Limits Counseling Services Pllc Community/Behavioral Health 3445 Teravista Way, Raleigh, NC 27616-9310 2019-10-25
1497397137 Ever-lasting Counseling Service LLC Community/Behavioral Health 7730 Sunfield Cir Apt 303, Raleigh, NC 27617-6762 2019-10-15
1285108373 Metro Treatment of North Carolina L P Community/Behavioral Health 3911 New Bern Ave, Raleigh, NC 27610-1332 2019-01-11
1932670999 Elevation Community Services, LLC Community/Behavioral Health 3712 Benson Dr Ste 201-202, Raleigh, NC 27609-7328 2018-12-16
1891297222 Saving Hope, LLC Community/Behavioral Health 2501 Lilymount Dr, Raleigh, NC 27610-3476 2018-03-01
1508370776 Resiliency In Recovery Community/Behavioral Health 3986 Cane Garden Dr, Raleigh, NC 27610-5696 2017-11-27
1467975318 Aci Support Specialists, LLC Community/Behavioral Health 6832 Planting Ct, Raleigh, NC 27610-8705 2017-07-24
1134649601 Aci Support Specialists, LLC Community/Behavioral Health 12367 Honeychurch St, Raleigh, NC 27614-7879 2017-06-26
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Competitor

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City RALEIGH
Zip Code 27603

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Dataset Information

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.

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