EDUCARE COMMUNITY LIVING CORPORATION - TEXAS


Address: 2520 Forest Creek Dr, Ft Worth, TX 76123-1146
Phone: 8172944015

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 315P00000X Intermediate Care Facility, Mentally Retarded Nursing & Custodial Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
TX 000752902 05

Other Provider/Organization Names

Other Name Type Code
EC FW FOREST CREEK Other Name - Individual/Organization

Other Provider IDs and Locations

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

Office Location

Street Address 2520 FOREST CREEK DR
City FT WORTH
State TX
Zip Code 76123-1146

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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
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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
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Taxonomy Information

Taxonomy Code 315P00000X
Grouping Nursing & Custodial Care Facilities
Classification Intermediate Care Facility, Mentally Retarded

Taxonomy Definition

(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).

Providers in the same taxonomy and city

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
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City FT WORTH
Zip Code 76123

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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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