EDUCARE COMMUNITY LIVING CORPORATION - GULF COAST (NPI# 1598253429) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598253429 |
| Entity Type | Organization |
| Organization Name | EDUCARE COMMUNITY LIVING CORPORATION - GULF COAST |
| Other Organization Name | SADDLE RIDGE |
| Practice Address |
5322 Saddle Ridge Trl San Angelo TX 76904-7224 |
| Mailing Address |
9901 Linn Station Rd Louisville KY 40223-3808 |
| Practice Telephone | 3259428050 |
| Mailing Telephone | 5023942100 |
| Mailing Fax Number | 3259490646 |
| Enumeration Date | 2018-04-26 |
| Last Update Date | 2018-05-10 |
| Authorized Official Name | MARY A PANK (PARALEGAL) |
| 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 | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Saddle Ridge | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1588089130 | Educare Community Living Corporation - Gulf Coast | Intermediate Care Facility, Mentally Retarded | 12711 Shannon Hills Dr, Houston, TX 77099-1241 | 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 |
5322 SADDLE RIDGE TRL |
| City | SAN ANGELO |
| State | TX |
| Zip Code | 76904-7224 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407342702 | Mark Wandal Duncan | Specialist/Technologist | 2237 South Jackson, San Angelo, TX 76904 | 2018-07-10 |
| 1700267259 | Sheila Patterson | Nurse Practitioner | 4251 Sunset Drive, San Angelo, TX 76904 | 2015-06-10 |
| 1346649316 | Mason William Mcclintock | Dentist | 2402 College Hills Blvd. Building 1, Building 1, San Angelo, TX 76904 | 2014-08-15 |
| 1265855712 | Lynn M. Thebo, Lcsw, Pllc | Social Worker | 3109 Southwest Blvd. Ste. B, San Angelo, TX 76904 | 2014-02-03 |
| 1487077459 | Lynn Marie Thebo | Social Worker | 3109 Southwest Blvd., Ste. B, San Angelo, TX 76904 | 2014-01-28 |
| 1558646521 | John Porter Parker Jr. | Pharmacist | 3705 Threewn Trail, San Angelo, TX 76904 | 2011-10-20 |
| 1568772036 | Medical Alliance Group of Texas, LLC | Durable Medical Equipment & Medical Supplies | 2525 S Johnson Ste A, San Angelo, TX 76904 | 2010-10-18 |
| 1578796710 | Jennifer L White | Physical Therapist | 2237 S. Jackson, San Angelo, TX 76904 | 2009-09-03 |
| 1548443203 | Kelly K. Sawyer, D.d.s., P.a. | Dentist | 3013 W. Loop 306, San Angelo, TX 76904 | 2007-12-17 |
| 1023224789 | D&s Residential Services | Intermediate Care Facility, Mentally Retarded | 1706 Idaho Avenue, San Angelo, TX 76904 | 2007-05-16 |
| Find all providers in zip 76904 | ||||
| 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 |
|---|---|---|---|---|
| 1033759758 | Daybreak, Inc. | Intermediate Care Facility, Mentally Retarded | 4801 Bermuda Dr, San Angelo, TX 76904-7204 | 2020-01-10 |
| 1487294104 | Daybreak, Inc. | Intermediate Care Facility, Mentally Retarded | 3217 Clearview Dr, San Angelo, TX 76904-7356 | 2020-01-10 |
| 1053951764 | Daybreak, Inc. | Intermediate Care Facility, Mentally Retarded | 3221 Southland Blvd, San Angelo, TX 76904-7331 | 2020-01-10 |
| 1548800485 | Daybreak, Inc. | Intermediate Care Facility, Mentally Retarded | 165 Edinburgh Rd, San Angelo, TX 76901-9502 | 2020-01-08 |
| 1285274126 | Daybreak, Inc. | Intermediate Care Facility, Mentally Retarded | 2742 Palo Duro Dr, San Angelo, TX 76904-7449 | 2020-01-08 |
| 1184830853 | D&s Residential Services | Intermediate Care Facility, Mentally Retarded | 42 Terrace Drive, San Angelo, TX 76903 | 2007-05-16 |
| 1023224789 | D&s Residential Services | Intermediate Care Facility, Mentally Retarded | 1706 Idaho Avenue, San Angelo, TX 76904 | 2007-05-16 |
| 1821204587 | D&s Residential Services | Intermediate Care Facility, Mentally Retarded | 2706 Watson Street, San Angelo, TX 76905 | 2007-05-16 |
| 1649486309 | D&s Residential Services | Intermediate Care Facility, Mentally Retarded | 1342 Tres Rios Drive, San Angelo, TX 76903 | 2007-05-16 |
| 1730395492 | D&s Residential Services | Intermediate Care Facility, Mentally Retarded | 1041 East 44th Street, San Angelo, TX 76903 | 2007-05-16 |
| Find all providers in SAN ANGELO | ||||
| City | SAN ANGELO |
| Zip Code | 76904 |
Please comment or provide details below to improve the information on EDUCARE COMMUNITY LIVING CORPORATION - GULF COAST.
| 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.