EDUCARE COMMUNITY LIVING CORPORATION - GULF COAST (NPI# 1588089130) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588089130 |
| Entity Type | Organization |
| Organization Name | EDUCARE COMMUNITY LIVING CORPORATION - GULF COAST |
| Other Organization Name | ROSE GH |
| Practice Address |
12711 Shannon Hills Dr Houston TX 77099-1241 |
| Mailing Address |
9901 Linn Station Rd Louisville KY 40223-3808 |
| Practice Telephone | 5023942100 |
| Mailing Telephone | 5023942100 |
| Enumeration Date | 2014-02-19 |
| Last Update Date | 2014-02-19 |
| Authorized Official Name | MS. DEENA G. OMBRES (ASSOC. GEN. COUNSEL/PRIVACY OFFICER) |
| Authorized Official Telephone | 5023942100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | TX | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Rose GH | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598253429 | Educare Community Living Corporation - Gulf Coast | Intermediate Care Facility, Mentally Retarded | 5322 Saddle Ridge Trl, San Angelo, TX 76904-7224 | 2018-04-26 |
| 1477978724 | Educare Community Living Corporation - Gulf Coast | Intermediate Care Facility, Mentally Retarded | 10507 Offer Dr, Houston, TX 77031-1801 | 2014-02-24 |
| 1316362957 | Educare Community Living Corporation - Gulf Coast | Intermediate Care Facility, Mentally Retarded | 5202 Alamosa Ln, Spring, TX 77379-8054 | 2014-02-19 |
| 1871918417 | Educare Community Living Corporation - Gulf Coast | Intermediate Care Facility, Mentally Retarded | 7418 Antoine Dr, Houston, TX 77088-6707 | 2014-02-19 |
| 1861817405 | Educare Community Living Corporation - Gulf Coast | Intermediate Care Facility, Mentally Retarded | 9107 Spellman Rd, Houston, TX 77031-2222 | 2014-02-19 |
| 1851716401 | Educare Community Living Corporation - Gulf Coast | Intermediate Care Facility, Mentally Retarded | 3419 Boca Raton Dr, Missouri City, TX 77459-4408 | 2014-02-19 |
| 1063837607 | Educare Community Living Corporation - Gulf Coast | Intermediate Care Facility, Mentally Retarded | 19110 Candletrail Dr, Spring, TX 77388-5217 | 2014-02-19 |
| 1023433679 | Educare Community Living Corporation - Gulf Coast | Intermediate Care Facility, Mentally Retarded | 8002 Fawn Terrace Dr, Houston, TX 77071-2723 | 2014-02-19 |
| 1437350279 | Educare Community Living Corporation - Gulf Coast | Community/Behavioral Health | 901 S Mo Pac Expy, Bldg II Suite 450, Austin, TX 78746-5776 | 2007-05-30 |
| Street Address |
12711 SHANNON HILLS DR |
| City | HOUSTON |
| State | TX |
| Zip Code | 77099-1241 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417566688 | Olajumoke Foluke Ajayi | Home Health | 9555 West Sam Houston Pwky S., 410, Houston, TX 77099 | 2020-07-23 |
| 1215580998 | Unity Adult Day Care | Health Maintenance Organization | 11522 South Drive, Houston, TX 77099 | 2019-07-22 |
| 1700340122 | Goshen Living Inc | Home Health | 11735 South Glen Drive #1003, Houston, TX 77099 | 2019-01-30 |
| 1306300140 | Nicanora Celsa Cuellar | Social Worker | 9810 West Sam Houston Parkway South, Suite 200, Houston, TX 77099 | 2019-01-25 |
| 1396223913 | Goshen Living Inc | Home Health | 11735 South Glen Drive, 1003, Houston, TX 77099 | 2018-08-06 |
| 1043724768 | Tj Brothers Pharmacy | Pharmacy | 10910 W. Bellfort Ave, Houston, TX 77099 | 2017-11-17 |
| 1427599042 | Patricio Gutierrez Magpali Jr. | Physical Therapist | 12030 Spring Grove Drive, Houston, TX 77099 | 2017-03-15 |
| 1790157709 | Rosemary Ngozi Ofili | Nurse Practitioner | 9644 Court Lane Drive, West Family Clinic, Houston, TX 77099 | 2015-10-29 |
| 1649670795 | Rochelle Ann Wright | Preferred Provider Organization | 11045 Lands Walk, 102, Houston, TX 77099 | 2014-08-26 |
| 1558792838 | Speaking Out Loud Speech Therapy Services, Pllc | Speech-Language Pathologist | 10960 Stancliff Road, Houston, TX 77099 | 2013-12-11 |
| Find all providers in zip 77099 | ||||
| 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 |
|---|---|---|---|---|
| 1467062869 | Affluent Health Care Services Inc. | Intermediate Care Facility, Mentally Retarded | 7542 Autumn Sun Dr, Houston, TX 77083-6915 | 2020-07-31 |
| 1083030357 | Embracing Angles | Intermediate Care Facility, Mentally Retarded | 4914 Teton St, Houston, TX 77033-3531 | 2014-03-11 |
| 1477978724 | Educare Community Living Corporation - Gulf Coast | Intermediate Care Facility, Mentally Retarded | 10507 Offer Dr, Houston, TX 77031-1801 | 2014-02-24 |
| 1871918417 | Educare Community Living Corporation - Gulf Coast | Intermediate Care Facility, Mentally Retarded | 7418 Antoine Dr, Houston, TX 77088-6707 | 2014-02-19 |
| 1861817405 | Educare Community Living Corporation - Gulf Coast | Intermediate Care Facility, Mentally Retarded | 9107 Spellman Rd, Houston, TX 77031-2222 | 2014-02-19 |
| 1023433679 | Educare Community Living Corporation - Gulf Coast | Intermediate Care Facility, Mentally Retarded | 8002 Fawn Terrace Dr, Houston, TX 77071-2723 | 2014-02-19 |
| 1376820548 | Graphere Inc. | Intermediate Care Facility, Mentally Retarded | 1918 Wycliffe Dr, Houston, TX 77043-2706 | 2011-11-15 |
| 1215213236 | Rozebel Healthcare Services, Inc. | Intermediate Care Facility, Mentally Retarded | 9896 Bissonnet St Ste 335, Houston, TX 77036-8159 | 2011-10-24 |
| 1538467865 | Josephine Eudes Iwuh | Intermediate Care Facility, Mentally Retarded | 6211 Sonomaway, Houston, TX 77053-4347 | 2011-03-10 |
| 1578873204 | Frances Uchenna Anyigbo | Intermediate Care Facility, Mentally Retarded | 11014 Ranier Dr, Houston, TX 77031 | 2010-10-15 |
| Find all providers in HOUSTON | ||||
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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.