EDUCARE COMMUNITY LIVING CORPORATION - TEXAS


Address: 106 Granada Dr, San Antonio, TX 78216-3546
Phone: 2104389338

EDUCARE COMMUNITY LIVING CORPORATION - TEXAS (NPI# 1417386392) 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) 1417386392
Entity Type Organization
Organization Name EDUCARE COMMUNITY LIVING CORPORATION - TEXAS
Other Organization Name GRANADA
Practice Address 106 Granada Dr
San Antonio
TX 78216-3546
Mailing Address 9901 Linn Station Rd
Louisville
KY 40223-3808
Practice Telephone 2104389338
Enumeration Date 2013-11-01
Last Update Date 2013-11-01
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 315P00000X Intermediate Care Facility, Mentally Retarded Nursing & Custodial Care Facilities

Other Provider/Organization Names

Other Name Type Code
Granada 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
1548699432 Educare Community Living Corporation - Texas Intermediate Care Facility, Mentally Retarded 6006 Larimer Sq, San Antonio, TX 78249-2441 2013-11-01

Office Location

Street Address 106 GRANADA DR
City SAN ANTONIO
State TX
Zip Code 78216-3546

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1376179820 Damiana Lea Mcmahan Speech-Language Pathologist 12 Inter Park Blvd, #105, San Antonio, TX 78216 2020-03-17
1811530967 Hacienda Hospice, Ltd Hospice Care, Community Based 101 W Silver Sands Dr, San Antonio, TX 78216 2019-10-22
1437792876 Eddy Sidra Optometrist 7400 San Pedro Avenue, Suite 486, San Antonio, TX 78216 2019-10-17
1083256796 Tiffany Michelle Goericke Physical Therapist 502 East Ramsey, San Antonio, TX 78216 2019-10-14
1780246942 Esperanza Eating Disorders Center, Pllc Clinic/Center 403 E. Ramsey, Suite 204, San Antonio, TX 78216 2019-07-08
1568938314 Lyric Lea Lewis Licensed Vocational Nurse 85 Ne Interstate 410 Loop #500, San Antonio, TX 78216 2018-10-19
1912488206 Rebecca Anna Poppe Licensed Vocational Nurse 1514 Vista Del Norte, San Antonio, TX 78216 2018-08-24
1205338779 Bailee Hannah Mokry Behavioral Analyst 11306 Sir Winston, San Antonio, TX 78216 2018-03-01
1487155677 Ojer Corbie Behavior Technician 11310 Sir Winston At Bld D, San Antonio, TX 78216 2018-02-23
1366943631 Briana Nicole Rodriguez Behavior Technician 14235 Blanco Road, San Antonio, TX 78216 2018-02-22
Find all providers in zip 78216

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
1134760002 Premieant Inc Intermediate Care Facility, Mentally Retarded 6402 Regency Cv, San Antonio, TX 78249-4844 2019-10-02
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
1346692712 Anchor Habilitation Service LLC Intermediate Care Facility, Mentally Retarded 18843 Redland Rd, San Antonio, TX 78259-3562 2016-07-08
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
Find all providers in SAN ANTONIO

Competitor

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City SAN ANTONIO
Zip Code 78216

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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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