EDUCARE COMMUNITY LIVING CORPORATION - NORTH CAROLINA


Address: 112 Wooding Pl, Kings Mountain, NC 28086
Phone: 7047308194

EDUCARE COMMUNITY LIVING CORPORATION - NORTH CAROLINA (NPI# 1518087766) 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) 1518087766
Entity Type Organization
Organization Name EDUCARE COMMUNITY LIVING CORPORATION - NORTH CAROLINA
Other Organization Name EC WOODING
Practice Address 112 Wooding Pl
Kings Mountain
NC 28086
Mailing Address 9901 Linn Station Rd
Louisville
KY 40223-3808
Practice Telephone 7047308194
Mailing Telephone 8008660860
Enumeration Date 2007-03-30
Last Update Date 2018-08-22
Authorized Official Name MARY A PANK (PARALEGAL)
Authorized Official Telephone 5023942100
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 251S00000X Community/Behavioral Health NC Agencies
Y 315P00000X Intermediate Care Facility, Mentally Retarded Nursing & Custodial Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
NC 340611E 05

Other Provider/Organization Names

Other Name Type Code
EC Wooding Other Name - Individual/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
1184057416 Educare Community Living Corporation - North Carolina Community/Behavioral Health 3906 Vesta Dr, Raleigh, NC 27603-3846 2013-08-09
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

Office Location

Street Address 112 WOODING PL
City KINGS MOUNTAIN
State NC
Zip Code 28086

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1609252493 Mary Elizabeth Mann Speech-Language Pathologist 1563 Lewis Farm Rd, Kings Mountain, NC 28086 2015-08-04
1831404847 Sandra Shuford Satterfield Nurse Practitioner 500 Phifer Road, Kings Mountain, NC 28086 2010-08-13
1821317868 Crawley Memorial Hospital Inc Long Term Care Hospital 706 West King Street, Kings Mountain, NC 28086 2010-05-28
1639408248 Self-determination LLC Clinic/Center 103 Ebenezer Rd, Kings Mtn, NC 28086 2009-12-09
1770731515 Ingles Markets Inc Pharmacy 2111 Shelby Rd, Kings Mountain, NC 28086 2008-09-05
1659553832 Jerry Marvin Utt Social Worker 301 East Parker Street, Kings Mountain, NC 28086 2007-11-29
1093831679 Mark David Lovelace Pharmacist 1114 West Gold Street, Extension, Kings Mountain, NC 28086 2007-03-22
1417016023 Acrolyst Physician Resources Internal Medicine 827 E King Street, Kings Mountain, NC 28086 2006-12-08
1730248865 Kmeg Resource Corp Pa Internal Medicine 827 East King Street, Kings Mtn, NC 28086 2006-12-06
1649362526 William John Majors IIi Chiropractor 110 West King Street, Ste 2, Kings Mountain, NC 28086 2006-09-29
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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 state

NPI Name Taxonomy Address Enumeration
1730702937 Gha Autism Supports Intermediate Care Facility, Mentally Retarded 44012 Morrow Mountain Rd, Albemarle, NC 28001-8616 2020-05-21
1811517774 Educare Community Living Corporation-north Carolina Intermediate Care Facility, Mentally Retarded 834 Tyvola Rd Ste 116, Charlotte, NC 28217-3542 2020-04-21
1598125460 Rha Health Services Nc LLC Intermediate Care Facility, Mentally Retarded 410 N Mineral Springs Rd, Durham, NC 27703-3618 2016-03-04
1023478294 Rha Health Services Nc, LLC Intermediate Care Facility, Mentally Retarded 619 Ray Ave, Hendersonville, NC 28792-2668 2016-03-02
1740649417 Rha Health Services Nc, LLC Intermediate Care Facility, Mentally Retarded 310 Locust Street, West Jefferson, NC 28694 2016-02-23
1841655453 Journeys Healthcare Intermediate Care Facility, Mentally Retarded 515 Carver Moore Rd, Lake Waccamaw, NC 28450-9713 2015-12-24
1326414665 Rha North Carolina Mr, Inc. Intermediate Care Facility, Mentally Retarded 1388 Lewis Fork Baptist Ch Rd, Ferguson, NC 28624-9080 2015-08-20
1609299916 Rha Health Services Nc, LLC Intermediate Care Facility, Mentally Retarded 1802 Strickland Bridge Rd, Fayetteville, NC 28304-5739 2014-01-23
1861822314 Voca Corporation of North Carolina Intermediate Care Facility, Mentally Retarded 4109 Enoch Dr, Charlotte, NC 28269-2578 2013-11-20
1902144314 Rouse's Group Home Inc Intermediate Care Facility, Mentally Retarded 5820 Nc 135, Stoneville, NC 27048-8478 2013-01-18
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Competitor

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City KINGS MOUNTAIN
Zip Code 28086

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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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