EDUCARE COMMUNITY LIVING CORPORATION - GULF COAST (NPI# 1851716401) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851716401 |
| Entity Type | Organization |
| Organization Name | EDUCARE COMMUNITY LIVING CORPORATION - GULF COAST |
| Other Organization Name | FELLOWS BLOCK GH |
| Practice Address |
3419 Boca Raton Dr Missouri City TX 77459-4408 |
| 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 |
|---|---|
| Fellows Block 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 |
| 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 |
3419 BOCA RATON DR |
| City | MISSOURI CITY |
| State | TX |
| Zip Code | 77459-4408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942801337 | Dynamik Transformations, LLC | Social Worker | 3522 Duncaster Dr, Missouri City, TX 77459 | 2020-11-03 |
| 1720606163 | Wonderfully Made Pediatrics, Pllc | Pediatrics | 8035 Highway 6 Ste 100, Missouri City, TX 77459 | 2020-07-13 |
| 1326608522 | Kyle Macdonald | Counselor | 9029 Sienna Ranch Road, Missouri City, TX 77459 | 2019-06-19 |
| 1275004947 | Andrea Christina Bland | Case Manager/Care Coordinator | 3426 Covey Trail Dr, Missouri City, TX 77459 | 2018-12-06 |
| 1477035814 | Golden Williams | Registered Nurse | 4502 Riverstone Boulevard, Missouri City, TX 77459 | 2018-09-01 |
| 1457831216 | Tania Leida Karmout | Physical Therapist | 4710 Lexington Boulevard, Missouri City, TX 77459 | 2018-08-20 |
| 1457831513 | Laila Dalope | Clinic/Center | 811 Sienna Springs Blvd, 521, Missouri City, TX 77459 | 2018-08-17 |
| 1477039196 | Tionyce Johnson | Behavior Technician | 3552 Fm 1092, Missouri City, TX 77459 | 2018-07-16 |
| 1861990681 | Nitta Ogu | Nurse Practitioner | 3631 John Hancock Lane, Missouri City, TX 77459 | 2018-01-26 |
| 1881100998 | Higden Dialysis LLC | Clinic/Center | 9340 Highway 6, Suite 400, Missouri City, TX 77459 | 2017-12-27 |
| Find all providers in zip 77459 | ||||
| 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 |
|---|---|---|---|---|
| 1922562941 | Michelle Gordon | Intermediate Care Facility, Mentally Retarded | 15314 Willview Rd, Missouri City, TX 77489-2403 | 2019-01-23 |
| 1497050280 | St Anne Healthcare Services Inc. | Intermediate Care Facility, Mentally Retarded | 12810 Candace Ct, Missouri City, TX 77489-3957 | 2011-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225639271 | St. Giles Living Centers, Inc. | Intermediate Care Facility, Mentally Retarded | 3323 Gail Ln, Tyler, TX 75701-7425 | 2020-11-05 |
| 1952902900 | St. Giles Living Centers, Inc. | Intermediate Care Facility, Mentally Retarded | 2500 Terry Pl, Greenville, TX 75402-7131 | 2020-11-05 |
| 1811598865 | St. Giles Living Centers, Inc. | Intermediate Care Facility, Mentally Retarded | 100 Patti J St, Greenville, TX 75402-8053 | 2020-11-05 |
| 1124629175 | St. Giles Living Centers, Inc. | Intermediate Care Facility, Mentally Retarded | 2616 Pounds Ave, Tyler, TX 75701-5627 | 2020-11-05 |
| 1568063527 | St. Giles Living Centers, Inc. | Intermediate Care Facility, Mentally Retarded | 2525 Preston Ave, Tyler, TX 75701-4644 | 2020-11-05 |
| 1104427509 | St. Giles Living Centers, Inc. | Intermediate Care Facility, Mentally Retarded | 2812 Shaffer Ln, Tyler, TX 75702-1653 | 2020-11-03 |
| 1265033658 | St. Giles Living Centers, Inc. | Intermediate Care Facility, Mentally Retarded | 3506 Garber Cir, Greenville, TX 75402-6234 | 2020-11-03 |
| 1487255873 | St. Giles Living Centers, Inc. | Intermediate Care Facility, Mentally Retarded | 3600 New Copeland Rd, Tyler, TX 75701-8839 | 2020-11-03 |
| 1306446000 | Daybreak, Inc. | Intermediate Care Facility, Mentally Retarded | 6520 Braddock Pl, Dallas, TX 75232-2902 | 2020-10-30 |
| 1578179750 | Keondra C Johnson | Intermediate Care Facility, Mentally Retarded | 2140 Medical District Dr Apt 2052, Dallas, TX 75235-8097 | 2020-09-22 |
| Find all providers with the same taxonomy | ||||
| City | MISSOURI CITY |
| Zip Code | 77459 |
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.