EDUCARE COMMUNITY LIVING CORPORATION - TEXAS (NPI# 1356464671) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1356464671 |
Entity Type | Organization |
Organization Name | EDUCARE COMMUNITY LIVING CORPORATION - TEXAS |
Other Organization Name | EC FW FOREST CREEK |
Practice Address |
2520 Forest Creek Dr Ft Worth TX 76123-1146 |
Mailing Address |
9901 Linn Station Rd Louisville KY 40223-3808 |
Practice Telephone | 8172944015 |
Mailing Telephone | 8008660860 |
Enumeration Date | 2007-04-10 |
Last Update Date | 2008-08-07 |
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 | 000752902 | 05 |
Other Name | Type Code |
---|---|
EC FW FOREST CREEK | 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 |
2520 FOREST CREEK DR |
City | FT WORTH |
State | TX |
Zip Code | 76123-1146 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205440146 | Ismile Dental At The Chisolm Trail Pllc | Dentist | 5513 Sycamore School Rd, Fort Worth, TX 76123 | 2020-09-08 |
1558916361 | Nimu Pllc | Dentist | 5325 Mcpherson Blvd, Suite 120, Fort Worth, TX 76123 | 2019-08-08 |
1306361431 | Kelley Phillips | Counselor | 5013 Pallas Court, Fort Worth, TX 76123 | 2017-08-09 |
1396280756 | Chisholm Trail Emergency Center | Clinic/Center | 5500 Sycamore School Rd., Ste. 150, Fort Worth, TX 76123 | 2016-12-21 |
1457801391 | Point of Grace Home Health | Registered Nurse | 2533 Mill Spring Pass, Fort, TX 76123 | 2016-10-04 |
1992253306 | Jason Bowers | Specialist/Technologist, Other | 5316 Quail Feather Dr, Fort Worth, TX 76123 | 2016-09-14 |
1831546944 | Kalima Charway | Psychologist | 4532 Endercrest Lane, Fort Worth, TX 76123 | 2016-05-18 |
1033551577 | Michael Rose | Specialist | 4924 Belladonna Dr, Fort Worth, TX 76123 | 2013-07-25 |
1265871768 | Anna Uppal | Dentist | 100 Wolfe Nursery Street, 180, Stephenville, TX 76123 | 2013-06-18 |
1366880627 | Mesa Springs, LLC | Psychiatric Hospital | 5560 Mesa Springs Drive, Fort Worth, TX 76123 | 2013-06-10 |
Find all providers in zip 76123 |
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 |
---|---|---|---|---|
1194848986 | Educare Community Living Corporation - Texas | Intermediate Care Facility, Mentally Retarded | 8321 Ohara Ln, Ft Worth, TX 76123-1503 | 2007-04-09 |
1649393414 | Educare Community Living Corporation - Texas | Intermediate Care Facility, Mentally Retarded | 1641 Vinewood St, Ft Worth, TX 76112-2960 | 2007-04-09 |
1649393430 | Educare Community Living Corporation - Texas | Intermediate Care Facility, Mentally Retarded | 5320 Hastings Dr, Ft Worth, TX 76133-5905 | 2007-04-09 |
1720101512 | Educare Community Living Corporation - Texas | Intermediate Care Facility, Mentally Retarded | 6913 Loma Vista Dr, Ft Worth, TX 76133-6428 | 2007-04-09 |
1639292428 | Educare Community Living Corporation - Texas | Intermediate Care Facility, Mentally Retarded | 3309 Fairmeadows Ln, Ft Worth, TX 76123-1210 | 2007-04-09 |
1467574228 | Educare Comm Living Lmtd Partnership | Intermediate Care Facility, Mentally Retarded | 3502 Ross Ave, Ft Worth, TX 76100 | 2007-04-04 |
1548382310 | Educare Comm Living Lmtd Partnership | Intermediate Care Facility, Mentally Retarded | 5724 Winifred Dr, Ft Worth, TX 76133-2504 | 2007-04-04 |
1669594420 | Educare Community Living Limited Partnership | Intermediate Care Facility, Mentally Retarded | 4308 Barcelona Dr, Ft Worth, TX 76133-5410 | 2007-04-04 |
1003938879 | Educare Community Living Limited Partnership | Intermediate Care Facility, Mentally Retarded | 2713 Westfield Ave, Ft Worth, TX 76133-1827 | 2007-04-04 |
1457473225 | Educare Comm Living Lmtd Partnership | Intermediate Care Facility, Mentally Retarded | 4120 Longmeadow Way, Ft Worth, TX 76133-7510 | 2007-04-04 |
Find all providers in FT WORTH |
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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.