EDUCARE COMMUNITY LIVING LIMITED PARTNERSHIP (NPI# 1366564130) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366564130 |
| Entity Type | Organization |
| Organization Name | EDUCARE COMMUNITY LIVING LIMITED PARTNERSHIP |
| Other Organization Name | FT REVERCHON |
| Practice Address |
2121 Reverchon Dr Arlington TX 76017-4567 |
| Mailing Address |
9901 Linn Station Rd Louisville KY 40223-3808 |
| Practice Telephone | 8175575417 |
| Mailing Telephone | 8008660860 |
| Enumeration Date | 2007-04-04 |
| 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 | 001000411 | 05 |
| Other Name | Type Code |
|---|---|
| FT REVERCHON | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033232665 | Educare Community Living Limited Partnership | Intermediate Care Facility, Mentally Retarded | 6895 Fm 3150, Lufkin, TX 75904-6465 | 2007-04-09 |
| 1659494284 | Educare Community Living Limited Partnership | Intermediate Care Facility, Mentally Retarded | 511 Russell St, Palestine, TX 75801-8161 | 2007-04-09 |
| 1184747719 | Educare Community Living Limited Partnership | Intermediate Care Facility, Mentally Retarded | 1805 Canyon Creek Dr, Temple, TX 76502-3210 | 2007-04-09 |
| 1386766152 | Educare Community Living Limited Partnership | Intermediate Care Facility, Mentally Retarded | 702 Marion St, Lufkin, TX 75904-3638 | 2007-04-04 |
| 1043332828 | Educare Community Living Limited Partnership | Intermediate Care Facility, Mentally Retarded | 1516 W 5th Ave, Corsicana, TX 75110-4207 | 2007-04-04 |
| 1194847962 | Educare Community Living Limited Partnership | Intermediate Care Facility, Mentally Retarded | 2505 Mariposa Ln, Harlingen, TX 78550-7849 | 2007-04-04 |
| 1669594446 | Educare Community Living Limited Partnership | Intermediate Care Facility, Mentally Retarded | 110 John Glenn Dr, Del Rio, TX 78840-2315 | 2007-04-04 |
| 1376665133 | Educare Community Living Limited Partnership | Intermediate Care Facility, Mentally Retarded | 1748 Spinnaker Ln, Azle, TX 76020-4951 | 2007-04-04 |
| 1275655045 | Educare Community Living Limited Partnership | Intermediate Care Facility, Mentally Retarded | 3700 Grifbrick Dr, Plano, TX 75075-1514 | 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 |
| Street Address |
2121 REVERCHON DR |
| City | ARLINGTON |
| State | TX |
| Zip Code | 76017-4567 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972149714 | Elite Vision Center | Optometrist | 5335 W. Sublett Road, Suite 600, Arlington, TX 76017 | 2019-11-26 |
| 1497390694 | Ijeoma Esther Osuji | Nurse Practitioner | 5307 Alta Vista Lane, Arlington, TX 76017 | 2019-11-12 |
| 1003385386 | Peace Within | Counselor | 5904 S. Cooper Ste. 104 - Pmb 162, Arlington, TX 76017 | 2018-11-16 |
| 1750883229 | Lumin Health Physician Group, Pa | Pain Medicine | 808 W Interstate 20 Suite 201, Arlington, TX 76017 | 2018-03-01 |
| 1215438643 | Clover Francis | Licensed Vocational Nurse | 5211 Saratoga Lane, Arlington, TX 76017 | 2018-02-21 |
| 1265942593 | Maria Luisa Gonzalez | Community Health Worker | 5916 Wind Drift Trail, Arllington, TX 76017 | 2017-09-29 |
| 1285150318 | Divya Patel | Counselor | 5201 Windy Meadow Drive, Arlington, TX 76017 | 2017-08-21 |
| 1912420217 | Natalia Sampaio Goodwin | Registered Nurse | 811 W. Interstate 20, Suite 212, Arlington, TX 76017 | 2017-07-19 |
| 1962939744 | Sean Christopher Hembree | Chiropractor | 4304 Sw Green Oaks Blvd Ste 150, Arlington, TX 76017 | 2017-05-11 |
| 1154866119 | Deborah Tuckey Nystrom | Physical Therapist | 2310 West I-20, Suite 204, Arlington, TX 76017 | 2016-12-30 |
| Find all providers in zip 76017 | ||||
| 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 |
|---|---|---|---|---|
| 1952773053 | West Tennessee Community Homes | Intermediate Care Facility, Mentally Retarded | 11003 Highway 70, Arlington, TN 38002 | 2015-10-28 |
| 1124490222 | West Tennessee Community Homes | Intermediate Care Facility, Mentally Retarded | 11443 Arlington Woods Cove, Arlington, TN 38002 | 2015-10-28 |
| 1245602341 | West Tennessee Community Homes | Intermediate Care Facility, Mentally Retarded | 11455 Arlington Woods Cove, Arlington, TN 38002 | 2015-10-28 |
| 1063884153 | West Tennessee Community Homes | Intermediate Care Facility, Mentally Retarded | 11456 Arlington Woods Cove, Arlington, TN 38002 | 2015-10-28 |
| 1205208543 | West Tennessee Community Homes | Intermediate Care Facility, Mentally Retarded | 10926 Luboc Road, Arlington, TN 38002 | 2015-10-27 |
| 1568834802 | West Tennessee Community Homes | Intermediate Care Facility, Mentally Retarded | 11005 Highway 70, Arlington, TN 38002 | 2015-10-27 |
| 1265804470 | West Tennessee Community Homes | Intermediate Care Facility, Mentally Retarded | 95 Oak Hill Lane, Arlington, TN 38002 | 2015-10-27 |
| 1992177638 | West Tennessee Community Homes | Intermediate Care Facility, Mentally Retarded | 5982 Polk Street, Arlington, TN 38002 | 2015-10-21 |
| 1295107944 | West Tennessee Community Homes | Intermediate Care Facility, Mentally Retarded | 7405 Osborntown Road, Arlington, TN 38002 | 2015-10-21 |
| 1659743300 | West Tennessee Community Homes | Intermediate Care Facility, Mentally Retarded | 11444 Arlington Woods Cove, Arlington, TN 38002 | 2015-10-21 |
| Find all providers in ARLINGTON | ||||
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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.