EDUCARE COMMUNITY LIVING CORPORATION - TEXAS (NPI# 1649393430) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649393430 |
| Entity Type | Organization |
| Organization Name | EDUCARE COMMUNITY LIVING CORPORATION - TEXAS |
| Other Organization Name | EC FWTH HASTINS |
| Practice Address |
5320 Hastings Dr Ft Worth TX 76133-5905 |
| Mailing Address |
9901 Linn Station Rd Louisville KY 40223-3808 |
| Practice Telephone | 8173701254 |
| Mailing Telephone | 8008660860 |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2008-07-16 |
| 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 | 000363602 | 05 |
| Other Name | Type Code |
|---|---|
| EC FWTH HASTINS | Other Name - Individual/Organization |
| 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 |
| 1417386392 | Educare Community Living Corporation - Texas | Intermediate Care Facility, Mentally Retarded | 106 Granada Dr, San Antonio, TX 78216-3546 | 2013-11-01 |
| Street Address |
5320 HASTINGS DR |
| City | FT WORTH |
| State | TX |
| Zip Code | 76133-5905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740830645 | Dieseru Healthcare Services LLC. | Technician | 2325 Woodmont Trail, Forth Worth, TX 76133 | 2019-09-13 |
| 1447636212 | Westcreek Animal Clinic P.C. | Veterinarian | 3313 Park Lake Dr., Fort Worth, TX 76133 | 2015-08-04 |
| 1750784286 | Tlc Dentistry of Fort Worth, LLC | Dentist | 7664 Mccart Ave., Fort Worth, TX 76133 | 2014-09-29 |
| 1184047581 | Jene Hunt | Pharmacist | 6225 Westcreek Dr, Fort Worth, TX 76133 | 2014-01-22 |
| 1841538972 | Chelsea Rene Sanders | Speech-Language Pathologist | 6036 Worrell Dr, Fort Worth, TX 76133 | 2013-01-24 |
| 1588926026 | Roger Allan Beck | Internal Medicine | 4509 Fox Fire Way, Fort Worth, TX 76133 | 2012-06-11 |
| 1477812857 | Little Star Rehab | Point of Service | 4525 Altamesa Blvd, Fort Worth, TX 76133 | 2012-05-07 |
| 1477824605 | Lauren Elizabeth Hall | Speech-Language Pathologist | 5316 Trail Lake Drive, Fort Worth, TX 76133 | 2012-01-19 |
| 1770772519 | Sherriann Michelle Erby | Occupational Therapist | 7100 Trail Lake Drive, Fort Worth, TX 76133 | 2007-10-17 |
| 1811193170 | Carol Diane Edley | Speech-Language Pathologist | 4400 Sweetgum Way, Ft Worth, TX 76133 | 2007-06-25 |
| Find all providers in zip 76133 | ||||
| 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 |
|---|---|---|---|---|
| 1356464671 | Educare Community Living Corporation - Texas | Intermediate Care Facility, Mentally Retarded | 2520 Forest Creek Dr, Ft Worth, TX 76123-1146 | 2007-04-10 |
| 1194848986 | Educare Community Living Corporation - Texas | Intermediate Care Facility, Mentally Retarded | 8321 Ohara Ln, Ft Worth, TX 76123-1503 | 2007-04-09 |
| 1649393414 | Educare Community Living Corporation - Texas | Intermediate Care Facility, Mentally Retarded | 1641 Vinewood St, Ft Worth, TX 76112-2960 | 2007-04-09 |
| 1720101512 | Educare Community Living Corporation - Texas | Intermediate Care Facility, Mentally Retarded | 6913 Loma Vista Dr, Ft Worth, TX 76133-6428 | 2007-04-09 |
| 1639292428 | Educare Community Living Corporation - Texas | Intermediate Care Facility, Mentally Retarded | 3309 Fairmeadows Ln, Ft Worth, TX 76123-1210 | 2007-04-09 |
| 1467574228 | Educare Comm Living Lmtd Partnership | Intermediate Care Facility, Mentally Retarded | 3502 Ross Ave, Ft Worth, TX 76100 | 2007-04-04 |
| 1548382310 | Educare Comm Living Lmtd Partnership | Intermediate Care Facility, Mentally Retarded | 5724 Winifred Dr, Ft Worth, TX 76133-2504 | 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 |
| 1003938879 | Educare Community Living Limited Partnership | Intermediate Care Facility, Mentally Retarded | 2713 Westfield Ave, Ft Worth, TX 76133-1827 | 2007-04-04 |
| 1457473225 | Educare Comm Living Lmtd Partnership | Intermediate Care Facility, Mentally Retarded | 4120 Longmeadow Way, Ft Worth, TX 76133-7510 | 2007-04-04 |
| Find all providers in FT WORTH | ||||
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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.